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MINOR SURGERY 



BANDAGING 



INCUCIilIn: IB« 



TKEAniKNT OV FIUCTUIIES ANI) IHSLOCATIONS, 

TRACHKOTOMY. INTUBATION OF TEIE LARYNX, 

LKiATIONS OK AUTKUrES AND 

AMPI'TATIONS. 



BY 

HENRY R. WUAUTON. MD.. 

I'lii ■■■■!* »f rii>Afiiv44ijt. HHivH re tm rafatttnus imrjtii^ tnI 
BMBDMn (nmrti iisvitii, »■ tii «hiuikk>'* K«**>tA»; 



RHSOKP KtHTlON, TllnjioirnniY RI!n!>H» AND K.VLAHOED, 
WrrU rwi'R IU'NKKKI) AKU SIXTKKX TLUfTRATIOSS. 




rillLADBLrHIA: 
LKA BKpTIIKRS & CO. 

litds. 



Entered accnnlitig ti> tlii; A<'i «r •'•'tiKn^ff. in tlia year 1AB3, by 

ht:.\ HKOTH tliS ,V I'll., 
Id the Offim of the I.ibrariBn <i( r<iii<;ro>^. All ri^^IilH rsMrveil. 



110S.1AN, mUITKK. 



'^^?.~?'or* 



PREFACE TO SECOND EDITION. 



The untlwr bss l»wu mwh i^nittfictl at tlip ftivuralilo 
nwejiUon whirh haa b«>ii acoordc^l 1<> tlib nark, iind lins 
itHlitivon-d in the |itx-pnilkiii of* wi'oml <v)ilioii (o innk<' 
it iiKiri' nurtliy ul' u LiiDtiiniiLntt.- til' Unit lariir. TIh.- 
aM'iilit' uid milifaoittio ini>th<Mli« of iiv<miim1 tivutitHiit Itnvo 
(viMi tlHirntiglily rcviiHil, ami u ixtiixidcmlilf iimoiuic uf 
new msttrr, Mith a niimlxT of iii'n- illiiMnilionis havo 
(■■Ml wMhI. TIk- diitlior'fi ibiuks an- ilw (<> Dr. >T<)M|>h 
I*. Tiiiii^ f!tr liiK kind itssifltance in ixivbitig tJio (inxif- 
it)H<rtN. 

Ill SoPm EravrmiKTa Ht,, 

I'a iLiDai.ru u. Jnljr, IW3. 



1008S8 



PREFACE TO THE FIRST EDITION. 



Tilt: aiillior liafl, ill tliiK work, endeavored to |in?6eiit, 
ill iiK niiirlM- n itiiiiitiiT n-'^ |HK«sil)lit, II (l<v4cri|iti(>M uF tiw 
vxrioiH l<uiii)cipt>, Miivti'al <)i\-wtiipt, nii<) minor siirj^mt 
imtntltirti; wbich an- cmpldved tii tlie prartire of surgery 
at tlip |inHvnt time. Tliv prtrparalioii iitid a|>]ili(ntinn of 
llw milLsi-ptiv drcssinfp) now most ctHnnioiily u»«l haw 
also ftxvivwl full iii>iifliilcratioii. Tlie artidp iii»on Ran- 
t|u)niiK iii t'dUy illti!<lrat<il with miln, nuKilly new an<) 
tnlciM) fMiH )iliut<igm)>lt». nliioh, il ii!i liiii>(.<il, will imivcof 
v^Hp af ftiniitiliin^ an aci-iirnU* n-iir»<L'iit;itiou oflliv nuMt 
ImptirUmt batidiiijva uw<l in tuitpml pradico; lh« samv 
in in a mtitsHrc. tru<> of ihi^ arlirh- it|H>ii iIip dni^ing of 
Fm-Uim* and I )i!ilocatiuiit«, iu wliifli nmny new viim of 
liiv mmo kiod a|)|wvir. 

Tho work aim cnnuina lOiorl artii'1i« npon Tndie- 
ntotDV, InliilKitiun at (li(- Luryox, Ligation of Artcrioi, 
and Ampiitutiiins, and, allhoiigli tiiew pnnvltirm arc 
Mnrcely to t>c inehidoil with Uhw of .Minor Siirgury, it 
bi linprd tlut tlii'ir drwription will inorcMc tlie vuluo 
of the work to imxltiiil uink'jitM, for wliose luo it has 



VI 



PREFACE TO FIRST EDITIOTT. 



been prepared. The author's thanks are due to Dr. 
Walter D. Green for his kind ussUtaoce in revising thu 
proof-sheets, and to Mr. James Wood for the skilful 
photographic work used in illustrating several of the 
articles. 



112 Booth SiaRTUKTB St., 

PHII.AmLFHIl, AD^at. IWl. 



CONTENTS. 



PART I. 



BANDAGING. 



Vamrtirb of Baxdaoes 

Baxdaoes fob the Hkap akd Sbck 

BAVI>AriI!ft OF THE IJppEK EXTKEUITY 
BANKAaES OF TBK TSU.IK . 
BaXOAOES or TBB LoWEft EXTSKUirV 
SPBCLAL BAXDAOBi .... 



FtXBD Dbeseixos ok IIabdbmixo BAMDAnm 



rjum 

IS-SS 

33-49 

•111-86 

«*-7S 

M-91 

91-lM 




I'AUT IL 



MINOR SDRGEBY. 
TuEoBV OP Assrau Jjn> AitmBnu ih Wodxu 

TaBATUERT ........ I0»-111 

Jamagmc Aqests Emfloybd 1 1 1-1 10 

PSKPARAnoS op UATERIAI.S USED tX AflXPTIO Bolt- 

OBRY 4xi> Dkcsixob ...... 130-136 

Pkxpakatiox or Oauzb Ukemixos .... lS(t-13] 

Ulcniow AHci DBBBlitos £MrLorsi>i!( tub Trxaiv 

MkXT or WotntM to Sscdkk Aekpsu . 1S2-1SS 

PMU>AftAT10Iil rOk ASBfTIO OpIlKATtOy . IS9-I43 

UATXRIAtJI UaBI) IK StTROICAt. DXEMIUM , . 144-104 

PtocKixTunt Employbd i» itisoa SuuiKBr . . ISS-IM 

ANJwniBTlui SOft-Sao 

Tadmm S3fr-2M 



Vlll CONTENTS. 

FAIIBI 

UbE of CATHBTKBS AMD BODOIES .... 224-284 

SOTTEBS 286-268 

LiOATUBES Used in the Tkeatment of Vabcdlar 

0&0WTH8 254-259 

Tbkatuekt of Hemorrhage 259-281 

Opemins AMD Dressing of Abscesses 282-286 
Dressing of Woonds, Bdrns and Scalds. Ber- 

soBES, Sprains 235-294 

Tracheotohy, Laryngotomy, and Labynoo-Tra- 

CHSOTOMY 294r-306 

Intubation of the Larynx 806-311 



PAUT [II. 
FRACTURF.S 

TbKATUENT of SPECIAI. FRA<'mtK^ . 



312-825 
326-385 



I'AHT IV. 
DISLOCATIONS 



Special Dih locations 



386-388 
388-417 



I'AliT V. 

LIGATION OF AKT1:KM> . . 4IH-i20 
Ligation OF Si'EciAi, Arteriks 420-162 



I'AItT VI. 
AMPUTATIONS 



Spetial Amputations 



453 

467-509 



Index 



611 



PAliT t, 



liANOAOING. 



Ranoaci^ nittstittitf »nv nl' llii- nuwt wiilply iiH-d ami 
itiipiiniml Mir);!^!! drL-K^iii^; tln-_v art- ciii]»li'_v»il li> lnO*) 
ilri-fwiiipi ill (iiDtiu'l witli iIh- Mirtiut- oC tliv Ixxiy, to riinkv 
pn-MK(irt-, lit liolil s])liiiU ill |>l4Hi> ill tilt- lr\^itiiK-iit <•!' Inu*- 
tiin« uik) (liHl<Mntii»ii<, imd t>t n-iOorc I» their iiatiinil jmn^!- 
liiiii (Kirln >vl(i('li OMV tuivo Ihxiiiiic (li>«|ila(Ktl. 

IIuiiilaecH niiiy In- jin'jiiiinxl of vurtoiM niaU-mltt, mu-Ii xr 
liiu-ii, <nih>liin', tiaiiiicl, i-Iiif-!* or tolwwu rloili. rulitx-r 
slut-till^, or iininliii, liliwiitil or iiiililfji-licit ; tlif l«tH-r ina- 
Icrijil i^ ttic iiKnt coinniKiilv ciuiili'vtiL liy tvnMiii ol' l)ii- ciiHe 
witli wliii'l) il is ol>luiiii-() iinti ili^ <'hi-j|)i ■<'!>;> ; Huiiiicl, Iimiii 
iln flai-lirity, is HttnielinKii iiwd, Imt its i-ni|iloyi)K>iil tor 
lM»<lii^4'!i in tH>w ^lu-mlly limiltil to \u um' iti ilit-MKiiijca 
(or ii|>fnilivc work in fonnwlion with llic eyi', uikI lor a 
pritiisn- roller in the H|ii>licalion of the pliK-ttT-of-Parift 
tlniininas. 

Itiitiuii):!''' on- either timpfr, whi-ti <i>ti)|HiM(il of oiic |iiu^- 
of mult'riul ^nch il^ th<- onlinnry niller l>iiii<littc<', or I'om- 
ftOHtul wlii-ti |in>|Nintl of nnv or i»on> {livHv, ii()ii)>tF<l l>y 
-ixr uit'l xhiigic to (Mi'iiliiir ohji^^K 

llitixtiiCTW un' iiIm> ^li-M-rilxtl hc nnittii);, <livi(liri|:. <i>iii- 
|in«Miii);. t-xiH'lliii^, or n'tiiiiiiti)f Imrnhit^it, iKx^mliii); to lti<- 
|HinM>M-n tJiey mtvc liy (heir ii|iiilieiirioii. 

't\w iMi|Niniin<f of Wilt;; [x-rlii-tly Iniiiiliiir u ilh tliv j^rn- 
ml nih«of luiiiiliiKiiiK mxl (>roli<-i<-iil in th<-u|i|>)ii«tioii of 
tht' mlh-r Iwiulit^' tniiitirf W ov<*nitlin)altil, uiiil Kilh the- 
Hluilnit will tfi-iii-nil jmrtttioiHT will uvvi-r tuivc <<uiim- to 

•1 



M 



IIANDAOINO. 



'rc^ri'l till- linK- iHi-i)|)ii>(l in Unrniiifr tn n|>|ily mntly titlti 
ronii (if Kiirniiiil iln-sMiijr. 

A ui'11-iiji|ilii-<t liiitKlatn- ntliU (o the ttmiliirl of ihi- (w- 
tii'iil, uikI iIh- ttictliixl of itr< ii)i|iliiiitioi) iitlcti :i«i-iin-!< fur 
|)m' itliyfii-ini) the <i>iiti(li-ii(>c ImiiIi of ili>- luiiiiDi imil of hiji 
friciHls, wliili-, on tlit- ollitr liaixl, a Imdly ii)i|iliiil Immliiifc 
in ti|t| III Ih' im(iimti<rlitli]i< iiiiil iiMiiir>-, iiml to imi-t with 
llu-ir wlvt-rs)' ■■ritit-i-im. 



TiiK K01.1.KII Ham>a<ik. 

TIk> roller IjuihIii^' (imHiHtit of a Hlri|> uf wnvvii iiiiitmu), 
pri'iuirt'il from Humof ttu'iiiiitt-nnlF- pn-vioiiKlviiH-tilioiitit, 
of vuriitlilc I<-ii};tl) and wi<llti ui^'ominK (o (Ik- |M>nion nf 
ttif IkhIv ti> whirli il is til )x- nji|ili<^il ; tliiK, tor two nf 
a|>plii-alii)ii, ix nilliil into 11 rylirHlni-iiI rorin. 

rill- iimlt'riul «i>iiinionlvcin|ilovi'<) lor Ihc mlk-r ImtnluKP 
\n iinltlKu-htil miifliit, a1tluiiif;li, Air «|HTiii1 ]>iir[HMi>, liiic-n, 

Km. I 




llttlMlBtfC ■UMlei. 



Hunm-I, hiMht Hlui'liii^, iriiiolim- m- i-liii-^^'-i-lolli niiiy U- 
uMtl. Il in i 111)11 1 rtnnt tlial tlii' nillcr Inmliip- .-•iionM mt\- 
Mint of tint- |ii»i-, fni- fmni liiiiinH iiml si-lvatf«-. fiir iriiuulc 
of a iiumlM-r ol* ihcoih m-wi^) liip-tlicr, nr if il iitnliiitiM 



rnS ROLLBK BAKDAOR. 



IS 



frtw^ta or t><<lvikp*, it iiinicit Iw mt mntly n|i)ili(il, iiiid it ix 
Dot N) iTiiiilortnhli' 111 (Ik- [Kilii-tit, m- it i)^ ujx In Ii-mvc 
4'miM'n it]Hiti tho Hkiii. 

lit |>r<-)utnii|r llif ordinary iniicliii Inimliicc 1)h- nmlcriul 
in torn in ■tri)ir> vitryiiif; in It-rii^h nnil widtli intiiiilin^ to 
til*- |iun of Itii- ImkIv to hIiIi'Ii it i» to Ih- ii)>|)li<il, hihI ii i« 
liicii i-olliil into II rvliniltr, lillii-r Uy tin- Imml or l>y u 
ituM-)ti»i* it>itT>tnN-tii) lor till- |>iir|Mw^'. (Fi^. )■) 

It ix iin|K>rtnnl lliiil rvt-r^' Miuli-iil uinl |>nM-titioin-r 
hImiiiIiI U' iiIiIo to roll u ImimIii^- hv Imml, tor in jinictitv 




tMUufi ■ tHiiilac* tf iNUid. 



(Iir ntnliinl utii-iuliiiit iiiny iil nny tnonimt Ih- i-alliil n|Nin 
to m11 II luiiidiici-, in onli-r to (l)iply n iln-wiii);, iintl ai^ tlic 
nrl of iin-[Ktriii>; a laiiidii^i- in iiii|iiinil U\ n littli- (inn-li«v, 
il i>lioiil() In' liiiiiiliiir to I'vrry sIikIidi iim) )i|iy>i<'i.in. To 
roll u Imitditp- liv Imml tin- >tri|> '■tioiihl (■■ liitditl nt oiio 
t-Ktn-initv tH^vrnil linii-H iitilil n hiiiuII i-yliiiili-r in (iirim^l ; 
llitn in tlifii (friL-tiHil liv itr> oxtniiiiti<-» liy iIh- tliiuiili nml 
iiwlpx finpT of llu- \fh luiml : iIh- fn-*- i-xln-iiiiiy of tW 
>dri]i !■ llit'ti ^ni>i|Hil Ix'twii-ti tin- tliiinili iiiiil imicx llnp-r 
of itii- HhIiI liniiil, itiitl )iv iiltcriiuli' |tr<iiintioii nml >>iiiiiiui- 
lioii of IIh- riKlil Uatnl iW i-^-liiiik-r in rc\'olvMl »mi tliL- 



16 



IIAKDAOIKO. 



riillfr Is frtriiiwl ; i1h- (irniiKvo of llii> roller will depend 
ii|H>ii till- iuiKniiit of li'ii>ioii wlii<-li i." ki-|ii mttin llie Iree 
extniiiilv «i' llii- flriji iltiriti^ tin- revntuiioD uf tlj« 
rvliiuliT, tl'ig. -.) 




siiittt cullar. 

ru.4 




A lauidiiKi- nillitl in llie riinii of ■ <'^-linltl•r in railed ii 
nhu/tf i>r MMfU-hfniM ndler {Vt^. 'A) ; \i mllifl rnmi tvu-li 
vxinniiily loM'unI lilt- <iiiin' mi that hvi> ■'iliiMlc-ni are 



OKKBBAL BULKS rOR BANDAQINO. 



17 



ftirnictl }«iiiiMl Uy the n-titntl ixirtion »r the firm, the 
dwthle or denAlr-hfudfd rtiWvt iw toniiiHl. ( Kip. ■!■) iWlliU' 
n>ll<-n> iirt< imt niucli im'<I, iiiuI id |ini<-ihv tin- Mingle nillpr 
wilt Im' flmtHl III Ih- iiiii|ily .iiil)ii-i<-nt lor liii' H|>iilinilioii nf 
nlmont all tlif luiiKlup---) I'lniiluviil ii) Mir^iiiiil ilri^-*iii[^. 

'rill' In*'' (■ti<l III' the roller linitilii^- U nilliil llio iiiifiiil 
fxtrrmU]/ : llii* c-iiil wliiili U ■•ncln'Mtl in tli*- <yiitr<- »t' tliv 
rvliiifliT is il** Intmniit f^remilii; nw\ t\w [Mirttuii in-twwn 
till* rxtn-tiiilH- /A/ Aw/y ,- ii nillcr Ua* aim two HiHiiu«, 
rxltntal tiiHl inlrmat. 

DlMESHIONB OP BAXnAGfS. 

Itiiii4lii;:t's varj- in It'Dstli ami wiillli mTortliii); to tJio |iiir- 
|Mi6«* lor wiiicli iIh'v an- <rni|ilovi-<l, and in |irarti(v it will 
[h* I'dun'! lliiit It smiil) VHricty of Iwtidaji^ will Ih> nmiily 
Milti>iciii (!ir (lip n|i|ilimli(ni of llit' onlinurv "•iir^intl 
tlri'H.-'ini^H. 

Tin- ioilowiii;: liM oitniiris^." iIhisp mo(*l fn-<|iicii|ly ux-d 
eav\ will ^mw tlinr 'liiii<-ii!'i<>nn: 

Hnniliip- on4' iiti-li witl*-, thm yunU in K-ngtlt, fi>r Imn- 
ilniCTH for llir luitiil, fiii^rM, iiwl toes. 

n)in<I»)n' /tr<(> tni'lii*^ widr, «ix yanU in Icnftth, lor linu) 
1uttiilii)fi^ nml for tlic t'vtn'niilii^ in children. 

llini<IiiL:>- lifo milt « half inclH-!' wiil<>, ^rtsm \-nrii« in 
li-nitlti, for Uiii'Inp-H nf rln- ixIn-niiliiT- in adtill." ; u nillt-r 
iif tlii^ KJxi' in tlio oitf iiioi<I ^-tionilly nrntl. 

KiiDiI»|t*' fArrr inelKW witli-, niw \nr*\*- in Ivii^lli, fur Imiii- 
daiCiM of ttii- tltiKl>. fffoin, hihI Inntk. 

ltiin<tiipi>/'>Hr inclif!' wiilr, trn yanis in liit)fl)i, (or tiaii- 
tlnftntiiniic' tnmlc. 



Gkkkiui. Kri.l» v*tK Handauinci. 

In ii|>]ilyint; » ndlcr ImniliiKt* tl)f (ti>cnilor should |ilwv 
the exlirtml htirl'm-t* of tin- fni- t'Xin-inily of llie rollt-r niton 
tin- luirt, holilin;; il in iMo^ilioi) wicli the litipTHof IIh' Irfl 
hiind oiilil tixtil Ity m W\\ Inrii" itf \\iv nitltr, (lif i-yliiidtT 
lirii)}; Kcid in the rit;l)t Imiid by the llmmli dimI linjti-n*; 



18 



HAHOAGIKO. 



for thiiH an the l>iimlii)cc w uiiwoumi it nAU iitlo tlic 
njjpralor's )i;iii<l, llicivhv ^jiviii^; him mun- roiilrol iif il ; 
t-an- Khiiiitil 111."" Im' takni that ihc turns aiv ajmlitil 
hiiiiHithly to th«' siirtaw, and that tht- ppeHsun? exert™ by 
4<iu>li iiii-u if- iinitlinn. 

If a Imixlimi' Ixiqiiiiiol to a limb the Miir^;enn should n't- 
lluil the |>Hrl IK in iJit- iMMtioii it is to iic<-ii]iy af rrpinls 
floxioi) uiul oxti-iiHiiiu wlii'u the drewtiii); iii (imijilvted, for 
a baiiilu;;e npplit'il wlieii the limb is Hexnl will exert loo 
much ]inwiiire when tlif limb is uxtendetl, aii<l then may, 
by the itrewiiire it eserls. become u iimtler of (li<>eoinfort or 
even oidanpT to the |)atieiit, or if applied to an extended 
limb uill iH-oome uueomtbrluble n|»on Hexion. 



PKl,^ 




H«tliad oT nnufilnta talxtaRe 

Mv fxiBTienfT hint beeii tbiil, it' ii nib-, tiuw who luiv« 
had ^iltb- i-x|M-ri<'iiii' ^ilb the iipplimlion of the rolirr 
lumdiif^e lire iipt to apply Ibeir UumIhk** t<''» lijihtly, mid 



VARIETIKS or BANPAOKB. 



10 



thiit limy l<ii<) (i> ilMwIroiix lYtiiMiinrtHTH, »fi)iTi>lly in the 
(InTwiiig i>r fnH-liin-e. Pmfiwiur A^lilitinil, in tiiH I'liiiiml 
t<ii(<liii));. lulviM-^ mikIiiiIh to miiii- iiM' <>('» Inr^i-r nitinlH-r 
■ •I' ttinio itf.T luitil.'i':)- in MitiHui; Intftiirf <irf«j'iii(;>' nitlitT 
lliiiii U< ili-|M-itil ii|M>ii » tV-w iiirii'< t'x> lirnily iij>|ilic<l ; iidvidV 
wliii-li irrtiiiiiU <'oinIiiii-^ to lln- •Jifciy mnl »*iiiif>irt iif tht? 
|>»f ii-iit, Whrti lin- ItamUp- \ui» Ixvn ii|>|>Ih'<I llii' l<-niiiiinl 
fxln-tnity r^liimM Ix- **i'tirtil by n ]iiit nr i>utVly-[>iii ii|t|ilk'(l 
iniiiNvvn^ly !■> llii- Imii'la^-, iiml if n pin In- (■•iil iIk iHiinl 
nhoulll Ih' biiricil ill tltir I'olib at lliv IxuilhigL- ; if thv 



Pig.«. 




IntnUici- U n tuirniu' one, the r-nd nmy Ix- "(ilit iiik) (Ih* 
liTii tnil» Dfiilltiiit; may In- Mi-ntitl itroiiml tin- luirt liv 
lvii>|;. Ill n'niovtiij; ii UiiiiIiiki- lite I'ltliU sIkhiIi) Ih- nin*' 
fully i:»lli«<ni| 11)1 ii) II liHi-«> iuii-«< iL-> tlif Imiidiip- w 
iiiiMiuiml, itii- iiinMi Ix-iiii; Iniiiifirnil ra|)iilly f'ntiii vnr 
limitl lt> lli<- KilM-r, limn liu-iliuititi^ il.-> ri'tiioval aiitl |>n-- 
v«-titiii|i till- iHirt rniiii iNtotiitiii^ <-iiiiui>;l'il in ib> Iooimw 
(h'ic- •"'-) IC it i" iliv-initili- to nit tin- Iuiri4lii):<- ■■> r<'uio\i- 
it, ill'- nm- oC M'i^irh inwlt- fur thin )>itr[HiHt- nill In- loiiml 
nitnl Ntli-ilBi-I'iry. (Kin- <t.) 

VAlUKTira MJ' HaNI>AI1K<. 

77i*- fSi-cw/nr flantlfifff. 

Tlii.- Imniln|f<- (imeixlM of a ii'vc rin'^tlHr liiniK iir(>uiiil a 
iiofi, iwli itirit ifivrini: ii<->'tinu><ly tin- imt-oliii^ turn. 
riiiti Viiricty <>r Utixliigv iiiuy In- iisiil to n-Iuin a ilniiMiig; 



M 



so 



BAXOAOIKO. 



to a liTiiiti><l {tiirtion of tlic IhwI, no<-k, «r liniliH, u> nuikp 
i-niTipn-Hoiou ii|H>ii iIh- vriiw i>C (ht- ami bcfopt' jK-rfitmiinj^ 
vcmtiortioii. {Vig. 11,6.) 

The CH>li(/uf Bandage. 

Th till* fiirm 4if Uiiub^ri' tlie turns an* mrriHl oMiiinctv 
owr (Ik- |i»rt, I'^ivii)); uiiiiivcm) »<[>««■<■!• U'lntvit llif mik-- 

KlFi T. 




ccMgve tuniK. (Fig. 7.) Its pniiH|)al iik; m fur lite 
fl|i|ilknt)nti of U^mjiurary (In^ii)^, 

7%e Spii-nl Randaifr. 

In tliin iGiiicliip' \\w hinif an.- nirritil iiniimd llir ]Hirt in 
II K|tinil ilintiitiN, raiOi tiini ovcHiipinn); u itnrliiin of llic 




AircndinK M"*' luidacr. 



' |iniii11n(; iiiii*, tiMiHllv iiiif-iliinl iir nur lititr, il inav Iw 
jtitiilif)! ib> un nmfmlini: Kpintl (l''t<- ^) "i* ^i^ » 'It-'^c^ndiiig 



VARtKTIKS or IIANOAGES. 



21 



Hltinil (Kij:. !'(- Tlii;- liimiUj^c may !«■ ii««l to <wcr a 
imrt wliii'li iltN-s ii"t iiKrcit-w' !<■» Tajiiilly in iliutiioUT, for 
lUittiitH'r lliv iiUliiini'ii, t'l]«it, or arm. 



n... •> 




LicwtDdlns Bj^ml tandiKv. 



77k« Spiral Hrrtmrrl linndagt. 

Tliii' iKinilii)*)- ic (I s]iiral Ixtniliif^-, Iml iIiiriT* IViiiii lliv 
•mliiiiirv •'|iintl liuttilji;^' ■<> Itiivln^r i(i> iiiniK loliUtI luii-k nr 
n-vi'tMi! an it ii-aTiitlp' ii imri, tin- lUaiiK-U-r ul" wliivti ^nulii- 
iillv iiimii"*-^ Ilv ii« iiw- ii ih ]Mivitl>ii- to iMVi'r by oiiinil 
Itirnn » piin huikiiI in f>lin|M*, w> nn b> inaki- <-(|iuil>k' 
Iin*!wiirr tiiHiH all ixini- of ilic j"iirfiiiv. Ttw rvvfr^-Min* 
mmlc iiK lollowi' : AlW*r Kxiit); llic iiiilial rxtn-inity of \\w 
ntlltT. iw till- jwrt ini'n«i»<> in ilbniciiT llii- luiii'liip- !■ 
mrriiil oil' n lilllr olili<|iii'ly (o llif :ixin of t)i<' liml> fur 
(nmi (oiir lo •^\ im-lio ; tin- imlt-x fiiipT or lliittnli "\' tlii; 
tliM-ii|cnK<'<l ImntI in |tliuTil ii|M>it tin- Ixnly 4if itn* Iwmbmi' 
\t* k«'|i it Noitn-ly in jiliui- iiixm the linili, the IiiuhI liolil- 
iiii; th<- ri'lU-r i-> nirriiil » litilt- towni'cl tltt- liinli to nliK'kcn 
ill*- iiiiwonml i-irlionof tlif iiiitiilnct, :iit() liy <4iiiltt:iii;; (lir 
(HMition of iIk- liati<l liiitiltii^ tlio liitiHlu;:^ fnirii i-xtir-niv 
•ti|ii until 111 to jiroiuitioii l)i<' n-wnw- i- ni.iilf, (Kip, 10.) 
(mr*' t-liixiltl U' tnkcii not ii> ultfin|it to nuiki- tin- n-vtiw 
whili' (Ih> ImiKlitgv is tviim-, liir by no iloiii); tlti' l>itn(ln|;v to 




22 



KASUAOIKG. 



Iwii-l4-(l into aconi wliidi m iini<i)£hllv aud iiiicttinlortablA 
til tlic luitifnl. iiiniHui t>t' liiniiiii^ it <-liiM-ly tittiag n^v«n^. 



no. 10. 




Mvltnl si lllBkllii rrtciHw. 

Tlic n-viThi' >'lii>iilil Ik- oiiiijiIcKh) lK-fi>n- lliv liiiiuliifft! U 
i-MrricI jAnxitiil (lie liiiil>. nitil v Ihii il \vsf iN-oti <v>in])U'rc(l 
IIk- iKinilMi^' mi\y In- r^liijlilly liglitt-iiu) mt Of (it mnfiiroi to 
llic inrt niviiniti'ly. 

Till- n-wn^-vt filii'iild Im' in lim- to liiivt- tliu IkhhIiiki- 
)>n■^>r'l)l n kihnI iiiiia-iinimf, niid can- kIiohM Ik- takt>ii tJuit 
tli>- n-vt'tviw tOioiiiil not Ik- tiiiidc ovi-r Kulicnt |Hirli; of itii- 
fki-lHitn, (iir il" tln-v iKvniiy unrli iMwiliunn (Ik-v raiiM- 
rniiM-o ill I)h- nkiii am) Im-i-oiiic iiiK-oinfiiiiiilik- t'> tlii' 



li 



i»i' 



|nittt<nt. 

'I\i iiiak(> n-vi-rN-w nintlv and tn liitvi- IIk-iii in 
miuitw Hkill nnd |ii-si(-ti(v ; a wi-ll-ii|>iilii-tl H[iinil ivvt-ryi-)l 
l)anit)i|[(> in II liKl of n rmniM-u-nl iMiiilafrvir. 



Wh'-ii till' tiirni> of tliiT riilliT mi^ itve\\ <>tlH>r in tlii> 
furiii (if lilt- < !rii'k li-ltrr lamtidii, liwiiig lli<- [iruviouH tnru 



VAKtKTlSti or lIAN»Ar;K8. 



23 



hInmiI tim-lliinl iiiKuVfrrctl, tlif luimla)f<- !-■< knowii as a 
tipuH IhiiiiIh^'. (Kl)£. II, a.) Tlit-w !i]t\t:i lKUiiln>;>?!' an- 
•!t>))cruilly wrvi<twl)Ie jis » nifann iif rctiiiniiiK MirvMiiI 
clnwioir^ U|Hm iicirlK'iilnr [HirtioiLi of tlic surfiu.'c ol tliv 
ImnIv, siicb sfi til tlie ■)li<iiild«r, gmin, or fi*ot. 



FM. 11. 




8|MiMnilwia. 



(^iiL-uUr bMiiiMv- 



fiiffUrr-of-r!ffhl liamlagr. 

ThU iHititln^- niwivt<K its tiaitu- fniiii llic tiiriirt Ik-iii^ 
N|i|>lic(l H> tin 111 (iinit n fifiiin'Hir-^-i^lii, Tltin iiihIiimI of 
ii]i|tliiiiliiiii if iiiitilc iiM- III' ill till' lltirliin'.-* Immlfi^-, Ilif 
Uin<lii;:i»<<r llii' kitii'tnnlcIU'WiiirKl tnniiv oliit-r lKiii<l:igts. 

rw.. It 




Kaeamnt htntmt*- 



M 



BANDAOINQ. 



Heearrent Bandage, 

This Ixindagc JcriveH itw name from tlio fact that the 
roller after irovering a ccrtnin j«trt of the xiirface is rc- 
flii-tetl and broiiglit Itack to the [xiint of starting ; it in then 
n'verwcd and rarriwl toward the oi»|>osite [xtint, and this 
nianijHilation is continiiGtl until the part is (^ivered by 
them- recurrent tnrns, which are then swiired hv a few 
eirc-iilar turns. (Fip. 1^.} Thi« is the bandage usually 
eniph)yed in the dressing of stiimiw. 

Co.Mi>()i-Mi Banhaoes. 

These liandaf^'s are usnallv formed of several pieces of 
muslin or other nialeriiti, ;uid iiri' cniiiloyi-d to fulfil some 
special indication in tlic application of dressings to par- 
ticular parts of the IwkIv. The most useful of the com- 
ix>und bandagi's arc llie T-liandages and the many-tailed 
bandages. 

T-bandaffen, 

The isingle T-liaudagc consists of a li<iri/onlal Imnd to 
which is attached, alxiut its middle, another having a ver- 

Flt,. I J. 




Single T bandige. 



ti<id din-ctiou ; the horiz<mtal piei-e should Ix; alxiut twice 
the length of the vertical piece. (Fig. 1:1.) The single T- 



COXPODKD BAKLtAQKS 



26 



Imtulap' niav Im* unci to n'tain ^n<S!iiiip< to th<- licml, lln- 
lioriMintHl i)U'<v lM-iri)7 im.-wiI tironml iIk' lu-ml t'i-<<iii ihi' 
tuvifiiit I" ifii- I'lO'Iiiitil, llii- vtTliiwI \mii- Ih'iiij; |iit,''.-i'ii nvcr 
till' IkihI iiik) Mi-iint) to (111' liiiriiriintHl |ii(ii-; llii- -lii.-ijiu 
.iiiii »iil)h III' l)i(- (Mil iniri-!* Iw-iii); viiriiil iiiiiinliii); (•> I)m> 
imiiitit infill. Ill njiplviii^ (lr<-w<iiipt (n tin- iiiiiil rt'^inn, or 
|M-riiifiini, iir in Mi-iiriii^ ii iiilti<'t>-r in ii |H-rin«-iil woiutil, 
thi- Miigli- T-I>nn<liit:(' vtill lie found nioHt iiM-fiil. In 
.i|i|il\in|; a T-imn*\n^- tiir thin |tiir|MiM- (l)i' IhhIv nf iIh' 
liiii)()ii{;i' in |iliuitl i>v<-r (lie npini-, |n>t .iIhivi' (lir IH-Ivin, iinti 
till- liiirixiintnl j-irtioii i^ lint tii-iMiml (li<- iilNlonti-ii. Tlic 
Im- i-x(n-ini(v i^ >|ilit inUi (wn tnil" fi>r alNttit iniHthinlii 



rw. 11 




■ if i|n li'ii^^tji, Hill) i.-> (uirriiil owr IIm' iiniil rc|;iiiii mid 
liniii}^it it]i lK-f»'<«'ti llii'ilii):li-, (III- ri'rininnl Htri|<-> |Kfwiiif; 
oiii< nil iiu-li ^i<)i' III' the ii>'n)(nin iiml Uiti;; HviintI hi tlH> 
liiiriKiifitnl niri|> in fi^>iil. Tin- ^iri^ti- 'r-lKiii<lnp' iniiv Im' 
\iiriiKiHlv nhMlifiKi) iui^irititt)£ to lii<- iiuliraiinns urhidi nn- 
III (m- iiiH : Tor iiiMiimv, in n|i|>Ivint[ a <In^v<in^ In \\u> 
imiM- (III- hi>ri»>iit«l Mnu |Kis^iii|[ aroniiil iWctii-ft niav 
Ih- niuih' trn nr (»i-lv<- iii<-lii>- in uiillti, (lie vi-rtitii1 ntri|i, 
(no ii)i-Ui-H in wiildi. jsinoH t'nini llx' Uuk ovrr tin- "lioiiiilrr 
ntiil >■ .'«i-tin-il t'l llii- liorixotidil ^Iriji in Tnint. (I'i);- '"^O 
Till- ninj:!!- T-iKUHbip' miiy bf variouoiv niixlitictl, nix-onling 
tu tlH- hUii- ttf Uh* »(irfc<'<iHi, NO ns In itHTt l)u< iuiliditiuiiK 



26 



BAHDAQINO. 



prt-KiitHl ill HiK-cial caw-s. For the proiii a piece of 
iiuisliii six inclics wiilo at its Iw.-* ami tliirtv inches lung 



Fill. li. 



:V 



VN 







T'lttnila^' or i^tin. 

iti new*-*! til a lioriwuital stri|i <if' niiislin one and a half 
vanis limp ami tM" inches in widtli. It may Ix-ajipliedaH 
ill KifT. l-> to huhl a drissiiifr In this |ijtrt. 

Double T-hiindiitfc. 

The (lonhli- T-lKiii<I;ip(' ditttTs t'nun the single hnndage 
in having two viTticsil siri|is attarhiii to the horizontal 
slpi|i, ami it may !«■ ns<il fiir nnicli thy sum- jinrjxises as 
the >*iiinli' T-liiniihijri-. ( Ki;r- I'') It may Ih' <iinv('iiiently 
use*! lor rctainiiig ilrcssiiitr^ tii llic clicst, liR-asts, or iihth)- 
im-n ; wIk-ii ns*ii lor this ]inr|>osc the horizontal jKirtiiin 
ohiiiihl Im- I'nim eight to twelve iiiehes wide iiiid lung 
eniiiigh to jiiiss one and a i|nartc'r limes aixint tlie ehest ; 
two virtii-.il stri|ts, two ineites wide and twenty inelies 
long, should !»■ attaehed In the liorizontal i>tri|i a short 



COMPODND BANDAQ8B. 



27 



()ii<tAiK^- ujuirt iii'sir iti- iiiiildlv. In n|i|)lvii>K tlim Immlii^ 
to ill" flh-t<i, lh<- horix'mtiil i^lri)) U jiliitxtl hixhiihI the chMl 
.•^> tluti tbt- vcrtitut 6tri|K> imviijiv u [Hwitiuti oti lUlicr sitlu 



FM. M 




UouUt T-U>l»liu<. 



itf llti* ii|iirK- ; till- ov('rl:i|>)>in|; <'ikI ■>!' llit- Iii>rix<>ii1ul iHirtion 
in i«riii\<il by |iii)H iir NirL-ly-jiiii)', uml lliv vt-rlHtil t^triy^ 



V—. i;. 



FKi. l«. 





IMoMt T-tMlutac* <■! ctiMl. 



DouMa T-laUHlMB ■>' "w)- 



nrp tM'St mrrM-il ttiii- <iv»t i-ithiT ^lioiilitrr nitd H^-tiiivtl in 
iitht-r jHirliiiiin nt l1i« l«iirlu|!e iu I'rtmt of the cbtwL 
(Hk. 17.) 



ss 



BAM>A01NG. 



Tlic <luiililr T-lxiiKln)^- iiinv tilM> hv iiMt) In wwiin> drraA- 
iiifpi lit iIh- IIIMI-, ill wliit-h ociit lli<- Mn|i> should \<e ijiiilc 
iinrniw, nlHUit oik- iiicli in wiilili, uikI ifhuiiUI be it|t^>li(.'d 
Bi> xhowii ill l''ig. 18. 

Mnntf-lnUM Bttiularfcg or Stingn. 

TIh-h- liniiil]it!i-rt iirt- prciuinil rn>tii )iif«« nf niiiiiliii nt 

vnrioiiH lcn|^1)H iiik) Uninllli*', wliirli nn- »\A\K »I cih'Ii <-x- 

li-i'iuily into Inn. liinr. >>r iiion- luili' up in williin » I'l-w 

iiii'luw iil'llifir n-iilfK, tln-ir wifllli tiihI li-iij-lli lioiiiK n^u- 

•JnK^I l>_v \\\v imrl <•>' iIh- UmIv I<i nliicli llicv an- a|>)iliiil. 



t^o 10 



na-M 





iidiffv or Dlilk. 



FnuMMIaa Mndai* oT btad. 



'V\te four-iailnt (niimIm^*- ihhv Ix- rtHiiwI iiivfiil lu » lem- 

Jxinirv ilrcwiiiii in himh of IriHiiin' of iW jnw, nr to hold 
In^^iiiillK !(• tlu- (-liin. 1 1 iimv Ih* |>rc]i»ntl bv lukiii);]i 
iNirlioii lit' II pilW l)Ui)il.n);t' llitvi- im-tiiT' wide iirid om- yani 
III Ii-iit;i)i, anil l'])l)ltin^ i-ni-li •'Mn-mily ii|t U> M-illiiti twii 
iiti-lit-» i>r llii- 'intri': it iK llicn ii)i|iliMl iif ^^tii in Kiu. IF). 
Th<- Ibiir-ljiilitl Imitilii^t- iiiiiy iilwi Im- ti^-<l to n-liiiti 
ilnvMin^x (<i till' Miil|i, him) ivii Ih- {in']iiinil liy liikiii); n 
|)Utv<tf miuliii (Hii- VHixl him] h <(iuirU'r Imij; timl six or 



IIAyt>KBROUIRP HAHDAGK8. 29 

i^)^t iwHirs in width, Aitlitlintr it at rach eKlivmily into 
two tnilK withiu tlitvi' iiu-Im^ of (he i-piilro; il ntay then 
Ix* nmilidl as seen in Kig, 'Iti. 

The T'liir-taihtl luuulii^- nuiv aim he umhI Id the leiii- 

IBHTiry (Irc^iiig iiC fradiirni nl the (■lavi<'Ip^th<" ImmIv itf 

ihi- Uimljtp- l>«'iii}> [>ln(x>tl iiihid llic olhiiw of ihr iiijiinHl 

briili', Iwo l.iiiri jmr^^ii)^ arittintl tho li>>(ly, fixing' tiic nrni to 

jihv fidf, ami Iwu taits infisiii); iivi?r Ihf mhiikI hlumldiT. 

Th»- iiiany-tailol Ixiiulai^ may alrto !» iij*d («r Itnlding ■ 

Mn-Ntinpi ill Mititaci willi tlic :itKlciiii<-ti or Inink. aixl it> the 

*ltnn<lii[:('whii-h miinyHiir):<'on§oni|)l(iy to hold thcdrt-t<)iiii}[8« 

to II iii'liotntny wound, nixl to give ^ii|)]>nn to tlic idMlom- 

iiml Mnllf' al\(T this njHnitinn. In prriKirinj! thif Itanda^, 

» Mriji of niiif^lin, one ami n half \-nrds in iriiclh ami 

i-i);ht(i-n to twenty im-htii iu wUlth, iit ns|nir(i|, and the 

rxlivmilin nuiy U* )-|>]it ^> a^ to forai nil Wifht-tailfd 

Imntlntti-. In upidying ihin liaiidimc i<> tti«' alxlompii. tin- 

Itody U ]ilacipd iiiwiu the imticniV hatk ami tliv tailn are 

ii>niii^lil aniiiml (lie aUlonicn am) ovcrla)) tiii-h othtT, and 

I whi'n ftiftii-irnlly lirinli <lrawn to niako llic dcHiriil ummiiit 

of fttwMirf, tlicy art secured liy m«ins of sif(-ty-|>iuR 

HAMtKKKrtllKF KamiaO!-?!. 

Till* iDH' of hnndki'ri'hii'fs or Miniire nieciit urniiipliti fiir 

thi- (•'m)>i>r:ir\' nr [K-riiiiiin-nl <lr(-<viin^ nl wound?', fntdnro., 

. or dtnliMtilionn wil<i iidv<Hnl<'<) iniinv vt.^ir« i\ff> bv M. 

iMnyor, » Kwiw stirgitm, who wnitt- nn exU-iii-ivc work 

Lti|Hiii tliiii Mihji-(-l, in whiHi he nflmi-d their H|i|>1i(tilioii to 

»>_>'!iti-ni. Ill- cniiitoyiil n luindki-it'hicf or a -uiimrf \mt\- 

'•tf niiHliii, mid hy various nicNlilinili<>n> in the aiiiitiiiilioii 

of tlxw, d<-v*'t<>|Hil II niindN-r i>f vitv ingt-niiin.'< luuidii|.i-T<. 

TIm' vuriiiii^ foniM whirh ihi- Itiindki-n'hief or mqwirf 

|(Fi|r. 21) X* imitle til n.<isnme an- a* fullnwo: Tin- fwi/tiff, 

[tnwl*- hv fiddinn iht- loiiuirr* on<T or (wjcr on ilwlf ( l-'t);. 22). 

riif tnnntjtf. marh- hy ItriniHliB touelher the <lia(!<>nal 

mnt;li<H nf rhi- si|min- (Ki^. '1\\). The lim- nf fnldin); in 

known ,tn ihi' \aiH; llii* utii;h- ■>[>iHtii|e llie Imum' ihi- a|H'x, 

ami ihf itllii-ranghw the extn-inihi-». 








BANDAGING. 



Fig. il. 



f 10.22: 



V 



1 ;: 



fci.j...j I 

Hi' 

rr -I ■-.■ 1 



The sqiian;. 



Flii. 2J. 




The nblong. 



'\ 



■:\ 



x 



;.:-i£iEi. 



Tin- tri4ii»:k'. 
Kiii, J I. 

Till' rrjiviiL. 




The iwril. 



Till' crnnit if |in'|Miri-(I I'nnii tlic trijiiitric l>v l)rin>;in)]t 

Ik' ;iiH'<i In iis ij:is<', iiikI tol'ijii^ it » ihiiiiIht <>f tinicx 
ijHin itM'ir until llti' tli-rtirtil wi<llli is ulitiiiiicil. (Fig. 24.) 



UAKDKEHCIIIKr BANI>AQU8. 



31 



The cord is InrnM-d from tho cra\'at Ivristut iiiMiri U«?lf 
(Fiy. 2-i). Till.' tmnu>s nf the various himilktrifiicr Imii- 
ilipit an- (Icrivwl fmm thi- »>lia|>i' nf llw imii<ik<Tiiiiffs 
■Mil sih) iIh- (Kirte tu which ihov im- »j>|>lic(l ; tin- luiimTt 
mTVf afi };iiiik-!i in ihfir :i{>]ili«itii<ii. It is l<\ Iw rciiwin- 
ln'n<cl tlint (he Iiiim- of llic (riiiiiKlc <>r the ImmIv of tlic 
•'ntvtti i* li> Ih' {)l:i4ti) ii|Miii (hv |K>rlioi) iho tli'^i^cDation nf 
wtiirli liii'iiii' till.' tiiiiil iHirlion of iho iiiinio of llii- Uiixliitii'; 
ttiiib, it) thv j'roHlo-^teviffiliil trian^f, xhv Aia\» ■>f tlM> IiuikI- 
ki-ruhicf ic given, and wc know ihal llif hiwe of ihv 
Iriniifrlr M to In.- applint lo the foivlxwl »uil llicii \tw^ to 
llnr iNfi|>iil. til iLuitiu ihf iniViitii the NtiiM- nik- ii|i|i]iu); 
tliii!', ill till- bijiHtxiU,ii-y c/-aeiU, ihi- ImhIv of the ciTivat i» 



rw.M. 




ItMUlUuT cnnt. 

til U- |ilnii-«i ill ihr iixilln of th«- nffit-tnl siili*, llip fXln-llli- 
liiv i-nwrail I'Vi-r lh<> •<iirn-!<|><>iHhii}C -ix'tilili'i- nmt (tirnnl 
ovt'r tin- rli>-*t, oix- lH'fon>, tUr iithi-r lii'hiiit), In ilii- iixilln 
nf thi- ••{)|->Biii- -ill'', wlirn- itii-y itn- ^iviirol. To 'i|>|itv 
llii- liiK-nj^il/tiry cniml ( Vig. '>li), n ]iii-rv of ii)ii?<lit) ii viinl 
ntv) n i|iititli'r lon>; mxl 4-i|;litif -ti iiirhi^ in wttlth fiildnl inio 
n (-mvnt !■ niiuiraHl; lhi-> IwitiiLi^- tiitiv U- iw-il lo hohl 
)ln>«iiig> lo thi- uxilla. 



32 



BANDAOIKO. 



7%e Omro-ptine Triangle. 

'i\i'ii* InukLip' iiuiy U' iii>|)li<'<l wttli n \i\wv of imuiliii 
rn](li>«l iiiUt a triaii)il<' ii yunl uikI a half Inii); nnd two f«et 
<Wit. tt la ii|>|)li(<<l liv ]iliirii)^ i)h- hoM- iif the trtnnf[l« 
()lili((iii'lv ai-nns tliv rifflil ^n>iii iiihI i'<)ii<liii-tiii}! tlit-Hiiiterior 
oxtivniily an>iiii(l tlu< U-fl i^Hlc, m-niNt tin- li>in» to ttit- ri^lit 
)^n>iii, wiiPii it i.i si-i-un-il, 'IIh- itifi-Hor t-ml slioiiM W 
cam») aroiiitd the ii|i|><t juiri of the right tliijfh l>rtH'(<ru 
it and llu> M-i<oiimi, to » |H>)iit iioiir lhi> miiMTior cxtremilv, 
um) laHtount nith a |>iti (Fifr. 27h ■lii'* iHinda^ may t>o 
cmjilovfit In simin- <lrfi«inp^ to tiw groin, hip, and upi^r 
jMirtioii of ihi' (high. 

no. SI. 




CnsD-pttik irlBngtc. 

I hnvi-dt-HiTilKil II R-uof Ihi- tonny very iiigcitiniiFi l<iin- 
tlnpf dcvi^tl l>y Miiyor lo onlKiituif the nnc of llu' nilh-r 
iKiiMing)-, which will give Ihv Ktiidciil miiiio iihii of tlu-ir 
dr-Htgii anil H)i|>liiit(ioii. It to well lo Uiir in toiiul tliipi 
M-h>1<in of iln— "ing. )<>r (hi- iHiiuioti inighl cvor in M'hi<-)i 
lit)' otIxT ii»iiiti>' of Uiniln'^ong conld wt In- ohtjuiK')!. and 
the u«<' of hnndlicn-hii'fn nttglil nnitwrr ii iiM'fnl |»iir|Hnii- lui 
li-ni|M>mn' dn-rwingf. I lliiiik Ihi-ir itriiHiiud nn* to for 
l<-m|Htniri' drmtingK, and I do not Ihink tltcy will i-vrr 
Inki- ihi- |>hMv of tho roller UtiKlngi', whirh inn In- iipplii-d 




Ii itiiK-li y:n'nt<T uiix-ty hixI 4'xik-|d(ik, uiitl it-rtiiiiily prv- 
M-iitx H niiK-ii iinitcr u|i))i-iininoi-. 

Barton' » Haii<lterei>iff, 

This iln<Mun|{ may !<€• fin(iliiy«l to niak<- esteusiiHi in 
H-UMii of fractnrv »t' IIk- U-yt nr llii^li. It in ;i|>|>liitl liy 
lakiii|f a huixikcrt-liief folded into a iuirn>w in-uvul aitcl 

|>liii-iu); lilt- l^nly tif il (HI tlw estremity of lln- <** (■alcis 
■'|(t\t till- iiL>M'rti(>» of tlif tt'iulo A>'liilli'<, HI tli:ii luo-tliirtts 
(if tlic cnivrit iiiiiM-s uroiiiHl iiiuW tlx' mitcr n)alKi>litn, iiml 
(111- tilliiT lliini it-iii:itns nil tlic iiiMili-. The iti^-idt' jHirtion 
rt'ii mill 111): ]uirullcl witli tlic Mile of tlii> lixtl. tiu- outride 
I piwv IS (nrricd over thv instc^i iid<I |jafiM>d around it wi as 
lo fiinii II knot, and alio |iasM-<l iiiidrr llic miIc of llio fiHii 
lo Ih' liiriKil Hmiiiid ihf firxt tnrn and tn form iiiKiiln-r 
kiMiI at llii- iiK'Ialarsal arltiiilalitui, uhvii Uilli i-ikU urc 
lurricil I'ff |H>r[H'iidu'ii|]irly fmiii tlit- I<h>1. 



RtXIIONAL IIANDAOING. 

B&odscee tbr Uts Bead and Heok. 

lUimis's Baxiuoe. 

Ito/lrr T\ra Jnehm in ttlilth, Six Vnnh in Lmgth, 

Ari'l.HATHiN.— 'Pir itiiiiiil cxiri'tiiily of iJn- i-iOIi-r 
iJiiiiild Im- iitiui-^l on till- li«iid inrit Uliiiid tin- iiuiMtiiil jini- 
ii««, mid till' ))uitibiiri- sbiiiilil iIhii Im- ittrrii-«l iindi-r tliv 
tKvi|iiial iirnlnU-mnn' iil>lii|ii<-ly ii|>H'anl iitidcr uihI in 
fniiii tif Ilii' jinrirtiit t-niinrno<> lu-nMt* llio vert4!X of the 
i>klill, lli*-fi doMiMinnt over tli<- /Vfcoiiialii- ah'Ji, iimli-r tin- 
I'liiii, llii'tiii- iijmnnl nvt-r tli<- o|iii>ini)i' /.yi;i>tiiali<' anli ntnl 
itvi-r tlu- (i>)i iif tlif liiitd, cnwiii)^ lln- fir^i turn, uliidi 
V'liA niailr as mqirly mm (tocwilili- in llic iniilian line nf llic 
ukiill, nirryiit);; iIm* tiinii' of tJir rolliT under iIk- |Kiri'-tiil 
i-tiiincn<i- lo tlif iHiinI of (iiiiini'-nii-nti-nl. 'Hir liuitiliit^' 




34 



BKQIONAL BAtTDAOES. 




llAririia't baiirldirf. 



in tlii'ii |)afwp(l (>li]i(iiioIy aroiiixl iiiidfr itic iKviiiitiil |>r 
tiilMTniiir Hitil r<inv:inl iiiiilcr tho t'jir to llit- fntiil of iIh* 
i-liiii, iIh-ihv Inii-k tn tlic jHiiiit rmiii hIiii-Ii tlic r>illi-r Muriel. 
Tlii-iH- tiF;iir('-<ir-('i;ilit liini.4 i»vit iIk? Iiim) iiiit) llic riniiliir 
tiirtif* rnim llK>iKwi|Hit In tlic-cliiu oIioiiUI lie n-]Niit4-4l,itirli 



riu, » 




Uanuri bMldMi ahtnilw nnBliw oF mm* al rttMi. 



VODtriKU dastok's BAKDAOE. S5 

torn «-x»clly (tvirrlu|>nitig iIk- |in?ci-cltii(; oni' until t)iv tnii- 
"Ittgc ift vxhuiiftM]. (Fig. m.) Tlje estivniin' JmhiIiI i1h-ii 
Im- MvuntI l>y a |>in ; aixl piiif> lOimiM \to inlnKlu'itl ut tlu' 
]Miiitli4 w)ion- the tiirDf cni!*' rat-h other ti> pvi- iHlditimuil 
l!\iiti>iii lu tlip Iximlajrr. In :i|i|)1yiii)> tlic luiiHlup- miiv 
kIikiiIiI Im- tiikoii tit Ml' timl I)k' tni'lin <iV)-rlii|i iwli iitlicr 
I'.viu-lly, imil thai llu> lurnx luiKsin^ over tliv vcrti-x t-nxiH 
ii!i m-ur lu iHuwibk-iii tlic nuf luiii litK-ul'tlicfikulUI-'i);. '2^), 

M'lUlFlKii IUiiton's 1Uni>A(ie. 

Til ulitain luMilinruil Mviirilv in tin- ii|i|ilt'7ilion of llic 

lt)irtonV lunxliit^i.- it mm of ihr Imitibii:;!- |>n.v<iii)c from lh« 

■■ai-timt to llu' fiin'liiii<l niuv Im- iimilc, ihU turn iM'tng 

' inti-ri-ieni tx-twu-ii ilit- tiinin of iIm- liantUi^- an onlinarily 

n]i])li(il. (Fig. :t(>.) In a|»()lyin^ ihU Imndii^c utWr itii' 




MwUhx] Uanuu'i UMt<*, 

w4 of Wru-i Iuu> Im-ti n>i»|ili>tc<l, that in ndrr the 
laili«luK<' Iih-" Im-ii l)nMi|;lil luit-k to lh«' •■(v!|mt, ilit- liiiii<tii|f<- 

, U mrrti'tl (iirwim! ii)«oii lln' IhiuI jiwt ovrr tlio 4-»r,*nt>»itiiil 
Oh' fiin'lii'iiil unit Uirk^t'iiril ulxivi- iIh' t'lir on tlic iiiiiMiHtli- 
i-iili- to ilic ■■(i-i|ini ; tliir' U'lii); ttotir, (In- onlimiri li^iiii-- 
nt"-t'ij;lit iini) i-in-nUr UiriH jin' iiimli', »iiil ulicii lln'w- lijivc 

I Kvp roiii)ilHiil ;imith<T ot-riinto-tVoiiliil (lint timy In- iiuuIc 
■h tlfwriLtl iiliiivi', »nil lliU niHy Ih' n-jHiiiit) its oftcii hh ih 



36 



mOlOKAL BA!eDAOI». 




(Iwin-il uutti iIm* hamlftfrr in rxluuicU'tl, wlu-n iIk- rxiniiiilv 

in Wli-itfl M iih It |iiii, unil |>itw ar^ hImi ititnxluntol nl nil 
|H>Uitf> lit trtiirli thr tnni> «-iMe«. 

I l«K. — This* laindagr in ooc of ilic tuiwi wvAil of liu* 
IwitiliiMTn tit' i\tv hnu). biriI^• vin|>l<>vi.il b> Mvun- fixntitiUj 
ut llir jiitt in iwx^ of Itw-ttin- iir ilUliNntioii, dim) litr tli« 
lt|ilil)ivili(ui (•rtln'^iii):^' I<< iltr chin. I Ii»\vii1m> ■■iiijiIumiI 
ll ill ]ttiwv <>!' ilio l»«itl-):tiir iti •lii)^iii<; iKilicht" tiir llic 
Hii|ilii-Mliiiii III* lh«- jilactfr-iit-i'uri:' IwtHlii^c in •«><■> nfi 
• limtKN' (if |Ih> »|Miir, a slixit oinl iir a ]iiiTV uf Imiiilaptr 
iiIhihI llinv iiu-lim H'idr itiHl iiim> vnni l<>lig Ivinf; jm>«a^lj 
iiiiili<r Itii^ tiirii^ i-nwMiiijt iivrrOH* vertex : tltix iiipI ih tlH-tt 
-iiiinHl It) iIh- i-nww-lvir ol* tlir fXti-ii.>ii>ii :i|>|uiniUl»; lliw 
will Ih' lixiiiil <|iiitc iu> iMiiil'ontiMc lo till' [iciiiiiit iLH ihr 
•iiiliiinrt lintil-)^tir i'ii)|il<>v(il iind iniiHt lirv< likiAy (o n|i|) 
nut •ll* (tlrnv uiu) inltTlVn- will) iIh- linTitiiin^ of tltc |uilti'iil. 

A Driiilv i)|i)ili<il ilarliin luiii<liip- liolil> iIm- \nvi!< .■■> 
rjiHi'lv liip'tlM'r tliul i-an' fJimilil )h- Uiki-n in n|)|)\viii){ Jt 
(•• |uilit'iil» hIiii iiri' iiikIit till' itiriixiKi- of .111 niiin-tlH-lic, 
f'>r \f viiiiitliit); iMviim llii- tiiiilcriiil iiiav iiol In- ilMr {■> 
<'->it|H- ti-otn iIk- iiiiinlli mill «iil1<>i-»tt<>i) iiii^lil •••iiir iinIt>M 
rill' Uiitiliiic' «iTi' jirv>iii|>llv n-inov*-"!. Tlii* iwi-iili-iil 1 
t)iH'<- mw iKitir iiml titr [Hiiifnl't toindillnii \tiiM nlnrniiiq; 
iliilil tltf liiimlnKf U'OH I'lil, iillowiii); the juw U< \f ■■|Hiir>l 

HIhI IIiI- lllllll-tllH llf iIh' IllOlltll til IWIIIH', 



I 



(j|HW>N'fl IUmiaiik. 

IMl<v Tvo hfhfa in II7<M. S!^ Vartlt in /^yfA. 

Al'fl.KATios. — 'rill' iiiilini I'xtr-iiiity <.f iIk- ixiIUt 
■luiiilil )h- iilnuxl ii|Kiii till' %-i-n<-x of tlic Hkiill in n lini; 
Willi llii' iinli'riiir |M>rli<>ii «il' llir mr ; tlit- liiuiiiiiffi- ix ilitm 
inrritil (Inwiiwun) in I'nuit ol' the i<nr to tlx- i-liiii, nnd 

I«»Mi) iiiidir iIk' i-liin, Ditil i- i-tirrii'<l iipivanl on |li<- muu' 
Iw iinltl ii n-ai-lii« llii- (Hiiiii or!.|iiritii|f. 'I'lio niiih- lunw 
r n-iM -ulisI uDlil ilmn' iiiiniili-li' liintH Iibvi' Ihvii iiuh1«- ; 
*' ' — ^ i" llii-n iiiiitinutol nniil it rtwli<-H n iioinl jimt 
ir, wlifH it 16 r<'\i'n«il iiml ir» mrritil luK-kwiinl 




oihson's hanu\gr. 



37 



■ntiiiul till* iMvi|Hit, mid l" ciititiiimtl iinmiul the licviil hikI 
tiirx-htiul tinlil il hinln-s itn iwniit "('■irinin ; tliow eiri'iiLiir 
tiiniA »n- ixmiiiiiKi) until ilinx- hiivc Ixfii miule. Wlivti 
Um' ImiKlugc rtiiHioti iIh- •Mvipiit, having iiiiii))l('(i-<l tliv 
lliirti liini, it U ullnwi^l U> <lr<)|> ilowii In the lioi^ nl' tin- 
pilitiU, ittxl it irt thill iiiirifil liirunnl Im-I.hv tlic K«r uml 
iinniiiil llu' i-liiii, iH'itijr liiviii^lil Uii'k ti[M>ii l)io it[>)><i.-<iu- !'!<!(■ 
•il' llif Ih-ihI eiikI ii«-k I'l ihi' iMiiiii of orijriii ; tliw«- Innw 
nrv n-iHitlitl iiiilil llirrc coiiiiurlr liiniH luivc Ikwii inaile, 



ii-., ji. 




nnti iiiKHi lite nHii|>li-iHiii 'if tli4> lliini tiini till' IxiJiiln^- ix 
n'viTviil Mtil (grni^t riiruiinl hvit the iK<i-<|iiir ami vrrlvx 
til llti' lirn-lMtiil, «inl il.-* i-xtn-initv is Ih^p- wi'iirifl willi ii 
[liu. l*>it-< !>lii>iilil itl^i Im- ii|i|ili<-(l lit the jMiiiith wli<<n- tlif 
lultM of l)i<' UiDilii};!- rnrv^ nii'li otln T. (Fi^. :il.) 

X'sVL — 'I'lli- tuill(liis:<- tliav Im' n^t\ in li\ lite litWlT jftW 
in <-nMi<s t'f t'riH'iiirr nr iltxIiNitiinii ■>(* llii' jiiw, Uit i* ntnn' 
iifil III i-liutiKi' il^ |HHitii>ii, hikI in, llit-n-tiin-, itnl wi mlix- 
liiriiiry OM iJti- Itiini'iiV liHiiiltip- liir llits |itir|MMi'. 



Mm 



38 



BCOIOHAL BAHDAOIB. 



UltLlQl'K ItANI)A4ie OP AXCtt.R OP THE JaW. 

IMIrr Two Inchr* in WiiUh, Six YartU m hmifth. 

ApI'LK'atiiis. — TIm- initiul fxtrciiiily of tJu* nillcp is 

Iilimtl jiiet ill frMiil i>f hiiiI iiImivl- the IcIV mr, iiml il* tho 
i>ft uiijfU- iiC llic low cr JHW 'm' til Ix' mvcrwl in, tlio luimln^- 
U Ii> <«rrii.'il Irciiti Iclt to nj^lil, making two oiiii)il(>tc 
ttiriii' :ir<iiin<l tin- riiiiiiiuii Inxii tlu- oiriinit t'l tli<- rurt'lit-ail. 
I r \\w ri^lil .-iiijrir lit' till- lowiT jiiw in ti) Ih- mvcnil ill, tlif 
tiintt* "lioiiM 1)1' Hiiiili- ill the "iij^witc ilitti-tiim. 

Having iiiiiilc iHii Hii-iis fniin llii' (ict'igiiil to tllc tnTe~ 
Iwwl, tli<- iHiiiilat?' !:• iilliiwitl t<M)ri>[i •lowti ii]i<iii llic n<>ck, 
iiikI !i> (iirriril tnnviinl iimiir tlir riir and ittnItT tlic v\\\t\ 




if itr'i;li^<>r lImi )tw. 



to tile angle of the jjiw j il is now niri-i<ii ii|iM-unl dose to , 
til* eiljp* iifthf iirliit, iiml iili!ii|iicly nvi-r (he vertex oftho 
ekull, then ilowti lM'liiii<l tlic riglil mr, <iintiiiniti); tliu 
o1i]i<|Uc turn iiiuliT tlie ritin In llii- nilj;!)' <if the IftV jaw, 
wlitre it iisivnd" in tlie -ante lUiisliim iiri llie |irtvi<nw tiini. 
TIiRv or fiiiir <it' lliiTH- '•liliijiie liirn-> arc tiiiiilc, euili turn 
ovpr)ii|i|)iiif; (Ik- |tn-e(ilin^ one nml |uu«>!ng fixmt (Itc ~* — 



HRCCRRENT BAKDAOI OP THE ITBAD. 



39 



■)f lh<- orbit litwiinl the mr iiiilil (lir oikkx' im <x>vcr«tl in ; 
till- iNtitilnp- if thru ciirriol li> ii |N>ii)t jiiM iiUtvc tin- t-nr 
• 111 till- iiitiHioilc mlr, w n-vt-nutl, iiixl >iiiiitlK-<l willi oiic ur 
two rin-tilar liirriit frt>iii llif iHvipnl u> tlio foR-litwI, tin* 
I'xln-mitv Ix-iii); wfimtl l>_v a |>iii. (Fin- 32.) 

!'(*»:, — Tliiw will !"■ f<>iiinl M Ix' iHH- of tlw mwi iiwfiil 



iif llti- htni] )>:iiiil:i<;i'h ; tl imiy lie iw-<l witli ii iiuiiim-w. in 
trmlii)i> ihn-ttin* or tlu- nii^Ii- nf iliv lowvr jaw. fortioMiii); 



It (-oiitiin-wi 
^ iv. fornoMii^ 

•Irx-^iiitp' til till- lower iwirl ut' ih*- i-liiii ami lo lii<' vaiill of 
iIh- tTniiiiiiii, 1111(1 in cniK^-tiillv iiM-liil in rduinin^ ilrt-witiKK 
to iIh- "iil<* of ilip fiuf uikI tin- |uiroti<l nf;ioii. Aw U'lon.' 
•liiliil, it iniiv Ih- it|>|ilii'>l III iiivi-r (>il)ii-r tlx- ri^lil i>r Icll 
)>i(li' of lli<- titii', iiml, liv n^iMiii of t lie olilioiit- (nni'>, IioMh 
if- giinilioti niiwl urt- nrt-K. Iiiiviii;; lilth' ii'iiilr'ncy lo Ixtviiip 
^lUviilautJ. 



Kn-1'IIRKNT ltA.Vl>A<li: t)P TIIK Hr.At>. 
RiJUr 7hm Inehn m \ViM, Eiyhl Var<U in An^A. 



r 

^H Al'i-I.M-ATKiN. — The itittiiil cxin-mily of rJic rolU-r !« 
^VfiliKvil n|M>n till- lotvi-r juiri of iIk- ton'liiiul siixl itit' Imiii- 
' tittp- 1» inrricl tM'ici-nroiinil tlx' liciid from iIh* lon-)Mii>l to 
iIh- iHfi|iul to Mttin' it. Wlicn tli<- Inmlji}^' ik lir>>u);lit 
Iwrk to tile iiiiiliiin lint- of llic fon'liviKl it ih n*v<-n4i) nixl 
lilt' o'vcixil torn ini IiiM liv tlit- fiup-r of ihv U-\\ Imiii! 
whili- ilic rollrr in mrri"! ovi-r IIm- top of tin- li<-:t>l iilonj; 
tlic -uiciiiiil ■iilnrt- to » |M>iiii juot Im-Iow tlic <Hi-i|>i(al jim- 
iiilicnimT; lii-n- it i" r-vitmiI iif^iin iiikI ll«' ivvvi^-- u 
tiiOiI t>v nil tM>i;>tiitii H'liilc llic rolli-r \n mrritil lnuk to lliv 
roh'tiitiil In III! I'lliiilioil itiiinN-, tiM-It Inni iiivt-riii); in in'o- 
thinl- of till' prfii-din^ tnm. 'Hh-hi' inri'f nii- n-iHstMl 
«itlt ■iiiii-wiivr n'Vi'rwv ill tile fori'luiKl nixl iin-i|>iit until 
iiiH- xi(](- of till' licu'l !■ <-<iti)|ili'li'lv iiivi'iiil ill, iiikI Mlion 
llii" i» iu"iiii|ili-lnil II cin-iiliir liirii in iiinil<' fniin tlti- liin-- 
Ih-hiI to iIh' o<i-i|itit to liolil {lir ri'v^ixi-H in ])liiiv. 

'Ilir opjHnilo nidi- of tin' liitnl \n wxl rtivrnil in liy 
l>lli|iti<iil ri'viTM"! (tinii> nimli' in lli«- miik' muinH-r. uml 
Mlicn tliU Imn Ix-i-ii iuiT>iii]ili)>)ii'<l Iwo or tlinv nn'tiliir 




40 



RKOIOKAL BANDAOKS. 



liiniM nrv <.iirTi<<il vntiiiul tin- liiwl fixMii tJii* fori'lu-uil In llu' 
iirriiMit t» lix the iin-vJoiis tui'li!-. I'lii-i r'liiiiiiil Ih' ]ii>|>li(?d 
ut tno liin'lipad ami >MTi|iiit ill (In- |H)iiit8 wliiTf tliP rv- 
v«TN-<I turns miifc-ntnitD. (Fig. -W.) 



n.: 




II«ouma< bBii'l" 



VhK, — ThtM lt|iii<Iu|{c M'licii ncll ii|»jiliMl is itiic of tltc 
iHillmt iif till- IhikI liaiiitii)^T>, Jiixl U will Ix- (iiuii<( iiha-l'iil 
(II R-tuiii <l refill p* 111 till- VHiill of (lie i-i-uii!iiiii in tli<- Iniil- 
iiK-iil (tf HiHimU III' till- )u»l|i in tills region. ll will dIkii 
In- riiiiiiil i>r sirviiv in liolilint; iln^4i^inK>^ In fnii'tiin-s of the 
rraniiiiii 11114) to woiiihIf^ .nl^i-r tin- <>|M'niii(>i) i>f li>-iiliinin)r. 
Ill n>lli>«> iiiilii-ntH it will Minit-linii^ iM-i-iiiiii- ilis|)lii(-i'<I, 
iiiitl il iiiiiv iH- n*itil4-n-il nu>n- Mitin* tiv |>!iiiiiiig ■ utrift uf 
loiiiLip- I'l l)ii- nn-iiliir tiini in frtint nl' (he tiir niid iwrn'- 
ini; il down iiiiiIit iIiv I'liin mii) iip tn ti (iirn's|H)n<)iii)i; 
|M>!nt on tile DiiiHiKili' siili-, when- it in [hiiikhI to (lio cir- 
i-iilnr turn ; or on<- or two nliliijiir tiiriD^ iiosMti); rmin llit- 
i-inntiir ttini over tin- vcrii-x nf tin* "Imll il<<w'iiwiinl Uliinil 
till- iiir, nntliT itn- Hiiii inid n|i to tlic i-in-tiliir turn in rmiit 
nf till' (iir iiiuy (■■ it|i])lir«l. Till- iiiiDx- (if ttH'N' tuniK in 
llio Minic tw iliow i-ni]»loy«l In iho otJii/ut- (mmlttyr oj l/w 
tmyle o/ttifjair, tin- fxln<niily lii-inn ■<'»>iin'»i liy n jiiii. 



TKAVaVKKaiC ItECl'RRItNT BANDAGE. 



4t 



TlIAMtVKIWK Rn-rKUeXT tlAMIAdK OV HKAt>. 

JtoUrr IW /««*<■-» in W'iitih, Six Varda m /ynjfA. 

Al'l*r.H'ATIoX. — ^TIh' tiiitini <-xln-inilv ol' ihf mlk>r in 
liliii-cd ii|Hm till- liiwvr ixirl of iln' (Itmu-ml mid tin* liitti- 
iliip' U (itrrif*! ini<v nroiiml rln- luml rrtuii lliv fl<n-lH-H<i to 
lln- iHi-i[ml !■> Si-i-iiiv it. Tlu- li«nl U IJh'II ciiwred iti l>j' 
iniiu'vcnM' iiiriin of tli<- t«iii<Lig(.< ; ilu^ first turn, .-itartiiii^ 
(rtnti a (■>iiil iHliind ilir lur on one wh; xt* i«rri(xt U'low 
llic iNvimit to it o<>rn-.-]K>itiiiti^ jMiiiit iM-tiinil t\n- ii)>|M>sit<- 
iiir, mm iM-<-iiiltii^ rniii.'<vi-i>i- Ktnis an- tint) niailr uml 
(Tirrii^I ovrr iIh- Im-.hI, iw-li turn i-ovi-rinjr in alumt tw^ 
lliinlx iif lite jin-coiliii;; turn, iiitlil ilic li>n<lHTi(l U rc:i<'l)it), 
iui(t wliDD Uiifi luih licci) ntu-Jml two Of llim- ciiviilur tiintB 



flu At, 




an- •iirriv^l iimtinil t)M> hnul rnuti lli4> rnn-htiul !•• ltH< 
im-iiitil til fix llu- n^'iirn-iil liiriL-t. I'iriH nlnuiM lifn|i|i)iril 
nl llu- |ttitnl <■)' ntitrliiip of tlic nvrt^'^l tiiriL" U-hiiiil llti' 
ivr-. iiitil 111 ill*' oit-i|<ol mill lonliiitil. (Kit;. -^'O 

('hk. — TliiH liiitiiliit^' iiiitv Im- i'iii|>)>>vi<iI !•> Hiiin- iln^w" 
ttip> III ilir Hiiitii iti <iiii<ui' wimiimU, ur in iiijiir!i'> to tin- 



BBOIONAI. BAKDA0K8. 



nktill, .iiiil i" iiH'<l fiir iIh- feitae |tiir|NHWis air- thu nmimNii 



UtiHln<^' of till- lii'ail. 



V-IIAM)AIIK OV TIIK IIkAU. 

Rolier 7\ro /ncAoi in IVWfA. Four I'flwfB ut J>Np<A. 

Al'ri-H'ATIoN. — Till- iiiilini i-Mrt-miiy i.f tb« Poller is 
M-(-(inil liy two turn.-* >i(' thv ii:iii>lit;^' iinHtihl llx- omiiitiiu 
fnim llif loh-Iiiflil (■> llu- i> vipitl, nn<I wln-n tlie n'lItT 
rLitr)t(i>< lilt- t)i-i-i|ittA) imiliiWmiiiv il in iillownl ti* i)n)|> 
•<li;;1illy a Htlli' M*m tliU iiihI in rarrkil fcH-w-iinl Im>Iow 
llti' i-iir »n)iii)i) tilt' fmul of llic i*liiii mikI \nwer li|», tlxii 

ri.i. ». 




V-UMIdMV uf lllu iHmL 



liti-k»tin) n* itic |Miiiil of -itiirliii^. TIkw liirtf lui-xiti); 
fnitii lilt- <Kv!jiiit (" till- liirT'lifiK) itml fivmi llio tHvipnl to 
till- (-)iiii iin- iitlrrnRlclv iimih- until it Mifiivii'iil niiiiilit-r 
linvc Ihvii ti|t|ili4il. itm( tlic rxltvmily in wTiirv^l liy ii |)iii 
I'viT llii- tm'i|Hii. I Kij;. ;ri.> 

TlitH IniiiiIei^' miiv Ih' tin'lillHl liy iTirriiii;; (In' tiirn» 
fivMit till' iHi'iiiiii fiirMiinl iiiiiliT till- <iir iiixt nmiiDil t)M> 
ii|t|H>r li[> Hiiil Itw-k In till- iHi-iiint mid Hllrriuiliiic iIhim.* 
ItiniN u-jllt llip iMx-i|Hti>-l'r<itiUl turns ; if viiiitloyitl in (IiIh 



nSAtt ASD NBCK BANDAOB. 4S 

iW»y II Iwniiugv uf uiie and unv-half iih-Ihw in width stMHiltl 
Ite urvd. 

Vjtr.. — This lan(lA<r' iiuiy Im' i-niidov*-!! In ImUl iln-sciuipt 
to [Ih' I'nmt of tli<- oliiii, Ui l)i<- ii|i]N'r iiml l<>w<-r li|)K in 
aiNW nf woiitxli, iir tu ^ve »(ii|i|M>rt (u llimi- |Kirtf> itAcr 
ItbiKlic i>|M-iT>li>iriH. 

IIf.ai> ani> Nbl'K Kakdaue, 
7toff«r Ttpft Inchoi In It'iVftA, foiw KarA »n Ijcngth, 

Ai-ri.If.vTiuN, — Ttif initial oxircmilv of ilic mlliT iw 

,|il»i^I ii|Hiii ita- rnn-liciKl :iml i-»rriitl buiktvitnl JiiHt »Ik(VC 

Jic 4air til llu> iKvi|>ui iiml ix tlicn brought fonvanl nrouixl 

Jii- tiitiMiHiU' side of ttK> heutl to llic [wiiilof stjirtinjr. Twu 




IIbiI Biul ttrck taiiikiftr. 



•if llwwi- i-iri'iiliir tiiriiii tin- riihIv Io tix iIh- IkiimIh^-, oiid 
iwIm><i it ifi iiirritil Icirk tn t)M'<N>-i)tiii it i-^ Hllowttl to dnt|i 
4I0WI1 nlii'liily n|Hiii llic iiiH'k iiml i« llti'ti mrriiil aroiittil llii' 
Df-k, |H<- liiriiK iiroiithl iIk' \t<'.v\ iilliTiuilin^ will) titc mi-k 
tiiniH iiiilil u tuiflit'ii-iil iiiiiiil>t-r of iIhm- Iuiw Ihvii ti|)|iliif I, 



9> KSaiOiCAt BASDAGIS. 

C>Mji)rK Ram>A4<k ttF Axmj: or the Jaw. 
HJhr Tko /m^U« m ITkU. Nu Yarda m IjnkglK. 

Al'l'lJt'ATMS. — Thr initial ritniiiity "f ihr mlltT i<^ 

iiliM^il j(t-l in fnMil iif am) alxw ibi- Irfl rar. nntl JT (In- 
rft Biitilf of iIm- lontrr jaw i>^ bi br niviiMl in. iIm- baiMl)i|n> 
li tti inmi^l Tnini IrH ti> tx^t. nakin); two t>>iii)tl<>l<> 
liim.- untiwl ilir )-niitiuin Tr^Mii ti»r (■i-i|Mii bi tlu- (•'rvlinul. 
I r tlti- HiH'i uiitflv "f thf Iiiwvr jaw i» I" tn' ii<ri-n«I m, lltv j 
tiini!^ lihoiilil U- [uimIi- ill iIm- iijiiif^iti- ilirvi-tKin. 

Ilnviii): iitmlr two nine' Inxi) thr i>n-i[i«it to thr Rin- 
tMiMl, tlw- liuiMLtp* i^all'iMiU t>iilni|i il»«n u|iiiii the tu-rk, 
aihI \^ tnrritil nmnnl iitwk-r tbr tmr odJ umkr ibr r4itn i 




OM^uc In nil II III ■■(I* uf ite !•■. 

tn tin- niitlf "t it"' jn^r : it is n<iH tTirrin) npnan) clmn- t<t 

thf "Ip- "f ll Hut. nii'i ••l>lkiiiM-|y .ivi-r tliv vi-rti-x nf iho J 

nkiill, tht-n <l<>H*n lirhiml the riiflil inr, ntaiiituine tliW ^| 
iililii|W liini niiili-r tin- rhin t>t iIm- aitpU- of li»r lr(l jnw, ^ 
wIm-h- ii ttMiiHln iu iIm' •cuiw tliru'liitit a« tlw )in'^'Miii> larti. 
Tlinv iir Hrtir of llw-w iil>|i.|iii- (nni^ an- timili-, i«rli I 
n%vrlA)i|>ilit: lli<- imi-nliui; noi- anil jklviiii; r'niill tllf 



SRCORRKST BANtiAOK OP THE HBAD. 3S 

if thf orbit tttwiinl th« vur unlil tlip hjmiw ii; wivvivd in ; 
tilt- iKinilfl}^- if t)ii-ii i-:irTi<-<1 to a )K>inf Jiit-I iilovc the vnv 
on tlic iipiMMiltr fjdi?, i!i n-vei>Ml, iiml fii)i»li(il ivitli odc itr 
two rimiiw liirns tr*ita tlio mx-iput l<> the rmvlitwl, llii- 
I'XtrcDiily lieint; wx-nrol by a pin. (Ki)*. :{2.) 

IVt;, — Thi^ will Ih' fuiint] to \w tint- of t\w nioKl iiM-rtil 

^Ol* IIh' tx'.til liiiii<l:i[;t?{ ; it limy U- (i!iiil witli K 4iiiiii>n-s« !it 
Iri'sliitt; rnu-din'ri of iIh- illicit' ••!' t)it' loucr jiiw, fur liolillii); 
iln-H^intr> to lite loHir |iur1 of tlic cltiii .iiiil ■■> |)r- \iiiiII "C 
iIk' i-ratiiiuii, iiiifi iri <-ri)H<i-iully ii.st'riil in ri'tuintnf; <lr(iviiii]>)s 
to lite r^tUv. t>f (lit- Gui- iintl the ixiMliil n-(;ion. As iHrfotr 

[Blnlitl, it niny Iw a|i|ilif<l lo covt-r ritWr tlif ri^lit or It'll 
igdr iifllH- fniv, ami. )iy ix-iimhi orilii- oltli<ni<' iiirii!', IioIiIh 
iIh |BHiti<iu iiiiwil Mtvurt'ly, liaviii); liiilc tctMlt-ncy lo iH-oonii' 
<liK|>lati-<l. 

KRCl'ltltK-NT U.\Ml.\lil{ or TIIK IIk.\d. 

Rijller Tko lAeAct in iVtilth. Kghl Yard» in f^ufih. 

Ar'i'MCATiii.v. — The iniliiil i-sln-iiiity of tlic nilUr in 

pliuitl iijHin llic liiwcr \ti\TX i>r tlo- li'ivliciul iind rlii- Imii- 

tUiKi' w <iirn<il twio' iirooitil llic IikuI I'i'iiiit tin- liitH-licnil lo 

the iKviptit to xTiin- it. WIm'H (III- IhmkIh}^- \* hvaWfiUv 

Ivu-k 111 llif iiMiliuti litM- of iIh- lorvtMiiil it ■> ivvitn')! iiihI 

llif ^)-^'1'rMHl ttin> If: hclil liy tin- fiii-^i-r ul' iIm- left tiiiii<I 

whilf llic ntlW if iTuriiil ov<-r titr lo|i fif tlic IkthI nloo^ 

, li«' Kicitliil Kiiliiri' lo II |Niiiit jii-^i In'Iiiu- iIk' <Hvt|iiiiil |in^ 

' liil-'niiKv ; Itin- il is ri'vi-rnfl iijpiin tiixl lliv n-virw \» 

hrld t>y nti it'U'i-'lunt wliJIi- tlii' mlW is iiirriitl Ixii-k lo 1)h' 

fiin-litwl in iiii i-lli|>tiiTil (^tumi-, cndi turn iK>vi-nnf; in luo- 

tliitvlH ttf lh<- iiirvctliMj; (iini. Tlitx' lupir: »n- n-|Kiim) 

with HiuTi^'i'ivi' rt-vi'tXTi til llit' rori'tHiwI iiml ■■•<)-i|iiii imiil 

our wi'lt- of lIu- liiwl i-i I'l-mpli'lHy <itvi'n<l in, nml whi-n 

■ tlii< i» iwii'iiiiili-litil 11 •'in-iiliir tnni in nuidi.' from clic tim— 

"hiwi to till- >Hi'i|>iil III liol'l till' rcvfFH-Ti in (»lii<v. 

Till- ii|t|H»<il<' Htili' of (Itc l)m<l \n next (xivrni) in ItV 
rni|>iiiiil ifvcrMil InriiF^ iiiiiilc in tlir winic lnnllll^r, iiimI 
M'tii-n lliin luio Ixvn a('»)in|ilii>'lif<l two or llinn- iTiniilnr 



40 



RKGIONAL HANDAOKft. 



turns an- cnrritvl nniiiiu) the l)(«<t Troin tlio farehffld to 
iHH-tiiiit to liv lite )tn-vioii» (iirii!<. I'iii.i ^hoiiM Iw aiiidiitl 
;iL llic fim-lit-.tii iiikI <Hvi])tit nl llu* |M>inlii wli<>rc tuv 
viTwil tuni.t (iiriix'titntp. (Kiff. ;W.) 

Fla.tt. 



re- 




ITNK.^'DitH 1i»ik1u|i:<- wIm-ii well iijtjititxl t!> ihip of thv 
itmli^t uf tltc IhimI liniiilii)ii», tiiid it will U- (ihukI iiM-riil 
to n-lniii <ln'.-v.iii;;H r<< llic v:inll of (lie iiniiiuni in tli<- injit- 
itiftil III' woiiihIn »\' til'- Miilji in tliiK i-c^ioi). It will tilwi 
In- fiiiitnl iirM-rvH-t- in linldini; (lm«-inx^ t<i Ihii-liinv ol'llif 
rniniiim iiihI to wihuhIh afivr llic <i)K-r.iii<>ii nl' tivitliiniii}r> 
In ntilli-HH iKitii-iiti' it will Miiui<tin](» iM^tnii- ilis)>liu-itl, 
urMi it Miftv Ik- n-ndi-iiil iiw>n- xiniit- liy pinning a Mi-ip of 

ImntliiKi' I" ll irinliir turn in fpr.ni of tin- t-iir and ciim-- 

jitj; it ilown iin<lri' ttii' I'liiii iin<l ii)t in » ii<rn'S]Hiii4linf; 
jNiiiit nil tl jijwwitr fiilt-, wln-n- it is |iiiiii*Hl Ii» tlx- cir- 
cular turn : nr him- 'ir two iil>li(|u<- Inriis jniH^inyr fnini iIh' 
uiniilur tnrn nvcr lliv vvrn-x of tin- i^nll Jnwuwiinl lH-bin<) 
IIh- (tir, iimltT tin- <-liin luid ii|i to lli<- <-in-iilnr Inrii tit I'roiit 
tif lilt' t'lir Miiiy Ih- ii|i|ili<-<l. Till- i-oiirm- of tln-M- turns ix 
t)u< wiiiii- ii« tliiiv- i-ni)>l<>_vi<ii ih iIk' o/ill'/ur ImniUii/f tif lh< 
aui/tr oj tlir jttu; (In- i-xtivtiiitt U'in){ H<i*iir<-(l liv ii jiiii. 



THAHSVBMSB ttSCURUBIfT BANUAQ8. 



-II 



Transvkiwi-: Rtx;rimKNT BA.viUdK oy I1rai>. 

fttJter TW fnehca in WiM, Six VanU in f^tglh. 

Al'1'l.H-ATloN. — Th<? initial cxtivmitv of (he n>llcr is 

ilimil ii|iiiii itic lower |i;ir1 «l' tin- ti in 'mix I niiil tltc li:in- 

laip- iti t-arrifil tw itv aroiitnl tlif lnwi Intm tlu- t'-irclHiul to 

ihf m-i-ijitit to ?i«-iin- it, Tlie head in tlii'ii wiverwl ia l)V 

i.tn»uivtTSf iurn»i of tlit- lumla^; the fir^t turn, starting 

'mm * \itnnt iH-him) tlti- <-!ir on one KitUs in carried Ih'Iow 

llii- o(i-!iMit to :i iNirrf^iHiiKliii); \tiHjit IwhiiMl tht' op]HMte 

™r, itiid iiHi'Diliu); tnta-^Vfiw mm- an' lln-n iiiiiili' ami 

rrarriiil over the IkikI, tiieh tiini coYiTiilt; in aUiiit two- 

Mhinl.M of the |)re<<eiliii^ tuni, until the toreliead is reiieli<-<l. 

ihI when thin haii liceii n-ache<l twoor tlireecitviihir tiim^ 



n-i. J I 




Tmainna ivninKl buhltcv ut liouL 

un- i-Hn-i<<<l iiniiimi llu> hrtui fntni lh4> (iirrhnul lo iIm' 
■ Kfiiiiit to li\ tht' ni-iirn-itl Kink". \^in# kIkdiM l>ci)|ii)lii<il 
tl titi- I")!!!! ol' ftarlini: of iIm' n-verMiI (urns U-hiiH) the 

ir^, uimI itl the iHi-ijoit iiml fon-hin<l. (I'tK- '^'O 
l'<"K. — 'I'hiH I Ml til tup' iimv !"■ i'in|iloviil lo wiim- iln^*i- 

iglH lo ilie Hivlji in tiM' of houihU, ur ID injnrit? tii tlu.* 



42 RBOIONAL BANDAOBB. 

HkiiU, mill in iiMi] li>r lh<- mihh- |i«iq><>ii7i as lltu lu-iimiil 
liuiMla)^- *iT xUr licswl. 

V-ltANI>AUB ov Tiir. Hp.ai>. 

IMUr 7\ro ItvhtK (n K'tdih. I'hur Yanln in l^tfih. 

Al'pun-ATHIN. — ^Tlii- iiiitiii) fxtn-iiiilv iif tlw mllcr i" 
[ittMnirvil \t\ \\\'i tiinix tif iIk* luiii<Iit;;f iinxiiKl thi* cnitiHitii 
(W>iii till- fon-lii'ml ((> lli«- ii<>'i)>iil. imd hIh'ii thr mllrr 
fwn'ln-.- iIh' '•i->-i|ii(n) jir<)lnK-niiiiv il i" iillownl li> <lr"ji 
nli;!lirlv II lillli- Ih'IuM' lliix iiikI if i-!iri'i<-il litruiini Im-Iiiw 
tli<- n\r iiniimil tlic Iruut of llie Hiiit nml lowvr li|i, iKt-ti 

rra.«L 




V-laBlwe ul Uiu btaiL 

Uii-ltwnnl !•• (Ill- iminl of Hliirlitiji. Tli<^- InriiH puipHin^f 
fniiii lliv i>ii-i|iiii to till* rnn'lii-iul iiDil innn \\w iHi'ijuit In 
iIh- i-liiii iiD' iilliTDali'lv riimlc unit] u sii(ti<-ii-iil iiilliilicr 
havtr Iho-ii iipiilinl, uiid ilii* exln-niitv in Mt-uixtl liv u (uo. 
"VCT ihi- "n-iiwit. (Ki([. -W.) 

Thi" ImiHutjfi' may Iw iiiiBliltMl hv <nrri'iii(r (lir tijT 
ft>Kti iIm- •■■•■iiiiit liinviin) iiitiU-r llir ii»r iiikI iiroiiit'l tlic 
■l|')"'r 11(1 iiDM lufk III llii' ii<i'i|iiit iiii<l iiltcniiilini; iImih' 
Iiinin Willi lliv ■■I'ijnto-friiiiial liiriiN ; il' i'iii|>liiyi^ in thUl 



HKAD AMD NXCK nAKDAflK. 



43 



Pmk. — TliU li»mlii)!<- iiinvlH'rni|)liiy<il hi hold ilnt^ingn 
n th«' rnMil )>r lli«' cliiti, tu tlii- ti|>|H-r hikI Inwor lijin iii 

uf of vinintlf, or to idvi- rtU[t|Hirt l» lh<*M< |)artj4 iilhr 
nIuHtir o|H-niliitiin. 

Kf:A1> and Nki-K ItANItAUK. 
Tiro Jncfum m Wiillh, Four Varda in Ijtnglh. 

ki'i'i.MATHis. — 'rill- iiiiii:il I'^lR'iiiilv *i(' llic rolli-r in 

lil.ii^t) ti|H>ii ilti- lim'lit'.ol iiiiil •iirriiil Imrkwiinl JiikI ciImivc 

lilt' iiir l» till- on-ipiil iiml i' iIk-ii tiniii}>lil furwiin) iiniiin<) 

iivii|tpuifiU' Mile 111' till' Itittil III llu- |>iHHl<ir«tarliii<;. Tu-u 




Bt>4 1*4 imC tUBdicr- 



(iftlmu' i'tri'nl:ir lurii- iin- iiimir rn fi\ tin- liiii)<lii}.i', iin*) 
wlini il !!> iitn-ii-il liii>-k !■> llu- iHi-iiiiu it i* iillowii) in i|n>f> 
liliiwit Mli|;lilly ii|Hitt ilii- iK-i'k nml i> llicn iiirri4<(l iir<iiin<l iIk- 
mi-k, llic dim- nnmitil llic ImiuI Hllt-ntiit!ii>; w ilti IIk- n<i'lc 
tunif tiiitil u 11 ilti I'M -lit iiiiiitUTt^rtlxw Imvc Ui-n ii|>]ili<-cl, 




u 



RBOIONAL BANDAOXS. 




h 



wbt-n till- i-xlmiiitv of tin- liaii(lit|ft* in Mviinil liv a |iiu al 
llif ■■Mn( of tTiiMiiif; of tlw liirii.-< »i iIk- lurk of llii 
Itrwl. [I'tfi. -Mi.) 

I Ink. — TtitH IkukIh^- iiuiv U- fiitim) iimTiiI in <H<i-iiriii)* 
iln^wiiitfH to ill*' jiiiliTior or (HisU'riiir |Kirtioii of tlir nodt 
CM* to tlto rrgtiiii of i)m- 'Ki-i|Mil. 

( 'iin' MlMitili! In- tflkct) to ii|i)ily it in mh-Ii n tnanni-r tltnt 
t'B> rniK-li ori-wnn' l> iioI himiIi- Itv itii- ttiriiH anniinl tW 
iMt-k, wlii'-fi H<iiilii In- niio'itilortnliK' to tlit- luiliciit, ami 
tni^lit "-rioiir-lv intiTti'n- nitli n'^'pinttion. 



Itotlrr 7\ro InchcM in WiiUh, Ftnir i'antu iti I^cnrjth, 
Ai'1'i.tcATtnN. — 'Pin- iiiiltiil (•xtn-iiiity»'f tin- iKUi'laf^c 



lilii'^il ii|M>n lltv Rin-liiwl ■■iiicl fixol l>v (wo otn-iilnr liiniit 
imiwilii; nniiiiMJ tliv lidul from (lie ocvi|iiil to liti' lorfhi-nd ; 




Tta-B. 




! cDiarrB, 



llti- nilliT in <Ihii inrri*il lark tn tin- iHvi|tiil ami i mmh wI 
urouml l()trt ami lir»it;lil Inruiinl U'low tin- t-nr. nixf (KiK^i- 
inic over llti- otidT |Mirlioii of tin- rltn-k in <«m(-il ii|iw'itnl 
to llti- jiHK'tioD of the Diov willi (lie lith-Iwtiil, iiimI ii> Ibm 



1 




CROflSin BANIIAOB OF HOTH KYKS. 



cotMluitcd ovi-T t\w |Min<-(iil |ir<iiiilN'nimv (IhwiimiiitI In the 
• >(i'i|>iit : It cin-iiliir rr>>iil<i-<»-<'i|iitiil runt m next niitilr, nixl 






tii-i) iIk- Imixlup- iH tirtiti;;lil lnu'k to tin- 'Hi-imil it ik 
.i|:;hl lorunrtl unn'm to llu* Htwk nn<) iMiiitU lo Ihi' 



I 



■rrhciMl. nivtrin^ in tuo-lliirtU nf Ok* [in-vtoiw turn, iiixl 
U ii^^iii (i)iKtit<i<il luu-k to (lir mvi|Hit ; tlitw tiinti> an- 
n-i-iilc*!, tin- oliIiijiM' tiiriis i-oviHrii; iId' vvf iiIlvrnRliii^ 
\4 illi <*in'iilsr iiiriiM iiri>*in() (lif )ii-a<l itiiiil tlx.* <'v<- in nmi- 
|ili-li-h i-iii'liwiil (Kif!- 't?), iiihI till' Iniixliip- i* liiiinliiil by 
:ikiii|{ A cin-iilnr itini nlHiiit tin- hi-nd ti»il iiKhHliicin^ n 
n to MT-uri' it.H I'xireimiv. It will U- Hmw\ inort- mni- 
tiii)>l<> to iho [liilii-fit lo im-lii<ir tlii' I'lir on tin- kiiiik- t<i<li- 
till ahirli til'- '-vf U mvriNtl in tlic liiriiH of tlx- luiii<lii|;i-. 
I'xK.— 'niir< l>inulii;£(- will In- r>iniHl iiM'liil iii n-tiiinin;: 
i'!««tiit^< In one I'vc. If will Im' nion- iiniifiirltililc rn (In- 
ticnl if it lliiiincl r<>ll<-r Ih- iimxI to ii|>|>)y l)ii.'« l>aiHliiK('i ii» 
11 w till' liiin<lit|{c H'lticli iiirliitlrw Initli vyw. 

(.'iRHtKIt ItANUAOR IIP llixrit KYI«. 

SaOtv 7W InrJtn h \Vi<IH>, Six Yaril« in I^'flh, 

Al'i'l.li'ATiMX. — TIm- itiiiiiil i-xlrcmity of tin- nilltr is 

^liti>i| n|MMi till- fiin-lti-url mill Mviinxl liv Itvo Hn-iibir tiint!^ 

' till- latiiLit;i-, twif^ini; anMiriil ihv htiiM from tlie tori'lirail 

< till- iHi-i|>iit ; tn<- riilW if lltrii iiirrifil (Inwntviiril U'liiixl 

_ III' iKi*i|iiit :iii<i lii-tiiiifht tiiruiinl U'lou tlif t'lir to tin- ii|i|ht 

|»irli<<>i >■!' llic t'lid'k ; it i« t)i4'n itirritil ii|i\t:ir(l lo |)h> 

juni-ti'iii .iC ilif iMiM- with iIr- fnri'litiiil iiiid n mil net ill ovrr 

iIh- jKrii-lnl imHiiU-nintr l» the- nrcimil ; n dn-iiliir turn \» 

now timilf iiniiiiiil ttii- Ik-iuI Ironi IIh' iHi-ijiiit to tli«- fnn-- 

IhiuI. iinil llif iv»lli-p iw <-nrri<il Cnini tli*- i>pfi|i«tl over thf 

|Kirifliil iiriiliilN'DiiKv of till- ii|i|H<-itt' fiili- tiirwiinl to iln' 

jittKitoii '■!' iliv iiiiwc willi till' fon-lHiHl, tlicn ikuvhwiinl 

MVt-r iIh- i'vi> mill oiiIit fiorlioii oC llir olio'k Ih-Iiiw iIili cnr 

wid Imck to ilic iNviiiiil ; ii i-in-uUr Uiru iinitiiKl lin- IimkI 

i*i Di>st nimli-, Nliil ifiiN in rnlliitritl liy ii n-|H-titiiiii of tlir 

l>r<>%'iiiii" liinui, iiHiiiiliiij; ov«t oik- i-yi-, ili^ufmliii^ ovi-r 

Jin oIIht i-yr, iiti-li liini iilli-rimtiiig villi it rin-uUir turu 



46 



REGIONAL BAKDAOBS. 



nmiitit) the hunt. Tlitwf turiiv un- rciiiiittKl until Ixilii 
m<M Hn> ntv«>n-<l in, nml tlit- IhumIh^- in Kni)>lic<l by malting; 
n ciri'iilnr turn iironml tlit- litwl. tin- <-\(n-niilr Wmn utt- 
ciiiihI Uy n |mii. (Fi;;. •'{K.) [n llii)' Imnilii^* Ixitli oure 
iiMiy U- <xiv«Ti'(l ill, ««• Ii'ft nmiivi-rwl. 




I'nwDl U- 



i)i> 



Uhk.— TliiH UiiHlap- muy Ih- mmiI io iip|>ly tlrcfv^inp* to 
lHt|]i rviv, mill IhiiI) <>r tli<'-*i- lictiiibip'K i-ovrHii); the I'vm 
iirt' ii-icil H'lii'iv it in <li'ni[\-il ti> iiiiikc ]tn'N<tiri'; Kiil, tiir lliv 
HinipU' )i[>|ili<iilti>i) 111' :i li^ht iln^v^iii^ or i>r ii iHimliip- for 
iJir vxt'liiftnn uf liclil. tin- I,i*'lirvi<-ii'> Utmliif;!- ( Kig, 7ti) 
will Iw firaiiil ni(in> minrortnlili- Id tiw (latii-iit. 

(_)|-(il-11t>-KAClAt. ItANPAdi:. 

IMItr TiM> /rti^rti m M'ulth, Four Yard* in I^rngth. 

Till- initial t-xin-niitv itf the n>llfr in plnn'*! ii)<>>ii ihi' 
viTIcx of ttu' IhimI, linn (lit- ImikIii)^' in <iirrkil rlnwiiwiini 
ill Triinl of titf mr iitol iiruli-r llii- Jnw, niiil il|iHiinl ii|Niti 
lti<' o|i|HiHi(<- k'h\i- ill iIic mini' lim- In tin- vi-i1i.*x ; two or 
lliri'*' of lliiw tiinip* :in- riinili-, odi- turn iw-iimti'Iy rov^^r- 
iiig ill till- oilier, und ii rt'VorM- in nuiili' jiwi iiImivi: tuid iu 



OULIQUC UANUAOX Of TUK HEAD. 



■17 



fnmt of (hf cnr, ajirt two ur thn-r liirnn nnr tiwili< nnitind 
tlir liniil fmm (lie itcx-iftiil In llir lon-liiwl. u h>i*li <iirii|il<-t4'» 
tb« iNuiilnfre. i,Vi)i. -iV.) I'lii- hIkhiIiI U- UiMTictl iit tliv 
. pctintH when- llic lurnK nl' iho IkiihIuji^- vntrtt nicli uiIkt. 



Fw.», 




Uodittti^ii 



wii.i«(f. 



Ckk. — TliH iHiiidiip' i-i t'lniiloyi.'d ti> ■wtiipi- rlrrtitiingM (o 
I llw vvrtt's. Ii-hi|>i>nil, mvijiir.-il. ur rMiXnl r<fpinif<. 



(hlMQl'R BaM>AUR or TIIK IIkAP. 

/toBer Jieo Jnchft m Wi'Mt, JFonr VartU m Lrnffih. 

Ttii- initial fxtn-niiu- nf ilti- tinii(litt:<- i» pluitti ii[Mm llic 
I'lirrluiiil. ui)(l i'' Mt'iinil liv twn I'in.-iilnr tiirits |)Mfi»^iti)c 
jinmiii) llic Ucail frxiu lli>' l(>i>')i<'ml lo llii' ixi-iiitit. Fnun 
lilt' i>ii-i|»ul iIk- liaixliijfi' ii •-.iiTtitl ii))lii|ii('ly ■■vtT tllu 
lii)flii^l (larl t>f ttii- lulcnil ii>i|Hvt ol' (lif IkwI, wliicli is lit 
Im> iiivfrxil ill, iiihI if )i«n4^1 ovi-r (Ih- I'm-lnwl ami luu-k h> 
thi- tNvt|iill, anil is llu'li iiirrit-il li> itic fnn'tifiul liy s Hr- 
La-iilnr liini, llti-i) iiitMlik-tnl <)tilii|iii-lv over iIr- otlu-r ftili'iif 
1 tlif !»«>) lUiil Icw-k III ilu- iKi'i|iiit. Tlii-!4- tiirtt)' an- n-iHultil, 
Uul itu-li >)u<-<i^«ling turn <.iivvn> in ihni'-ronrtltHol'tliv 




48 



RGOIONAI. HAHDAOIS. 



imxHtliiig turn iiiilil thi- ■witv of tin- heat\ an- r<»vi>r«l 1 
liv <t(W^-iiiltii;; tiiriiH, iiii<) tlx- 1>jindn|;<- is (iinuilt-tMl liy n 
(■irt-iilitr turn ixii^iiif; :iri>tiiici ilic Iii-jhI frutii (fn- lon-)K«<l 
to till' o(vi|iut. (Ki^. -UK) Tliin 1 iittiiiii}(i- may ltcu|>|»liHl 
witli ili-wviMliiif; or tu'irmliiiK liirn.-. 



¥n. ill. 




l>Mb)iiE lawlncT »r tk> bwl 



ITmk. — Tliif Imi)(Iii(![- iKfinployctI lit iiiiil«'|m-N4in-ii)i>>n 
iir to link) (In-fv^iiiiiiH lo IIh- liiU-ni) iLHinttn uf tlu- liiii<l. 

()lt;irlTI)-FR<lSTAI, ItASHAIIP. 



floll/r ?W Incfiet in WrWM, Four Vtirdt in iMtglh. 

.Vi'i'i-HATiiiN. — Till- iiiiiiiil I'vln-iiiily of iln' luiiiiliit:r 
U [ilncctl ii|Miit lite lori'l)(ii<t »D<) II liniilur turn i-^ nuult' 
nnniiul llic lon'l((iuliin<l tKvi|Hit lo fix it. Ai-irciilartiini 
tfi titcii iiiiiilr jHifv^itiK Hroiiitil tlif hciul from n iKiint btjow 

lllf IHvi|>ltl (•> II Jioilll jllfl IiImiVO till- fiitvlKlul : tllL' tIPXt 

rin-iitiir liini in iii:mIi- iiniiiiui llii' Ik^kI iiHvmliii): poH- 
Ifriorly iiml ili'Mi'iidiii); jiiiii-riorly, iin*) iitii-r :i Mitlicii-ni 
iiiiiiilHToriiini- liiiv*' Ini-ii iiiiuK' lo OIV4T in llii- froiil nii<) 
Imck of lite liaiid, iliu (.-ml of tlie Ixittiliigr iir M^itintl with 
n |iii). (Fig. 41.) 




SriRAI. UAKnAOK OP THE riHOKB. -10 

nn. 41. 




(Vrlf4tii-l>0llUI l>ili»liik*>' 

t'sK. — Tlii» lniml»(^- will In- t'oiiDil (t«Hiil ill t^i^iriii^ 
rlm«>in}r' t" ll»' roMuiid nml niiltrior nimI iHwU-ri'ir |Minii>ii 
i»r tlic «nil]i. 

BkndosM of Uw Uppar Bxiromltr- 

Spiral ilA.\r'A(;K <ii' tiik Fimjkii. 

RolUr One Inch m WtM, On'- awt a HalJ YunU in 
lynifth. 

AlTMCATIoN. — '|1h- iiiilixl cxln-iiiiry nl' 1)h> mlU-r in 
Minimi liy Iw.i iir itin-i- liirnn iimtiitd llii- wrift; llir Iotm- 
ilnp- if then mrricl <>l>li<|ii<-h' m-nuvi lln- Imck uf tliv linml 
til ilif Ibw (if tin- liiipT t'l Ik- (iivrn-<I in, then ti> iu tt|) 
liy obliifW tumn; iirm-iilnr liirii i'' Uh-ii nimlc ami lh<- 
StiHtT IN nivi-nil Uv uMn-iiiling t<|iinil or >>|iini1 ri'vcrmil 
titni" iiiilil riti \mf*- i- niulH'*! ; rln- Imutiiiii' i» (Inn 'Tirrinl 
rtlilit|iii-ly ii>'n»4> llic IvK-k (if* (111- lull II I III If I tilli^ll(1l l>y >iii<< 
or tw<i riniilnr tiiniH iin>«iti<i tin- m ri^i ; ilir ■■Ktn-niiiy ninv 
la> |iiiiii)il or nitiy )<•■ >|ili( iiiln two trtiU, wliii-d nri' tin) 
nnniti'l (lie wriM. (FiK' -(^0 




so 



RSfllOJIAl. ■««»««■■. 



rt c 




l'"K. — Thi" ImiuUifp is <-iii]>l«v»l !•• rvUiiii iln^^Mtig 
U|*Ki ihr finifiT nnil In nci^in- -|iliiiti' in llii- IniititMiit uf 
fnu-tunv i*r <lii>liM3iti<>ns nf tdv ]iUulaii|t<n>. 

UArxTLKT Bamiauk. 
RoBer Ont Inrk in W'ultk, TItrrti Yard* m Lrmjk. 

Ai'i'MCATiiix. — Tbi' inittiil i-xtni»ity of Hw mikr U 
(l«<ii ut tli«- *tri«I I'V'Hif i>r twti firi-iiliir liinii> nf ihr Iwii- 
lUip': ii i> Uii'ii inrriiil down t" iIh- li|i i>f iIh- tlitimli br 
uii c>titii|uc liini <*( \\if nilli'r, iiikI llii- io ixivcml iii lijr 
■ [linil itri<|iinkl n't'rrwl liirii^ (■• ihf tiiriiiivr|Hi-)>linlniiE<nl 
iirtii'iiliiliiiii*; till' nilli'r i* tlii'ii mrriii) Uwk (o tli<- wml 
niltl n I'intiUr (urn t» iniuli- nroMwl it, ninl llir IkidiLi);!* ik 
itiiM i-urriiil <tiiMti 111 till' li)t >ir tin- tii-xt tliiifiT liv alt 
iittiii|iit' Itini, whMi io <<i>v«-rnl-iii in l\v huiik- moniHT. 
Wlit^n nil llii' Hiiip-n havr \»Tn iin-vrv*\ in, lltr ImmliigL' 10 




DBMI-OAONTLKT BANDAOl. 



61 



fi^<hi«l t)v rintiliir Utnii> inxiiid tti« ImtMl and wriot. 

fi.1 IV 




VnK. — TliU Imniliijp- may Iw i'TOi>lnv<>d u* h|'|iIv tlri'Nb- 
ii^^H tu till- fiiip-i> Hiid liiuxl ill ciM' of tvoiitiiU nr i'nw- 
liinv. Il iVKf ri>nii<-rly itim-l) <'iii|il<>ycil in ilw iniitiiMtil 
of liiintH iif tin- fiitp'i> t'l jin-vi-iil tin' <i|i|HMil iilivnil4.tl 
■iirCiMV" lr>>iii niltii-riii^, Ixil iln iim- fc>r llii:> |>iir| »*><.■ imn 
Ik^-ii Mi[>)>liii)t<il l)y wni|>)>iiiK ''^'^i* liii^^T !n ii Ki-]iiinit(.- 
dn-wiii): him) u|i|ilyiti^ ii •In'Sfiitii nwr tlir whole with it 
ffw ni-tirn-iU iiini tjtinil tiinij^oCa wide rtiUi-r, the {tjiitltcn- 
ritin of tliio ilri'wiii^ iH'iiif; iniH'li litM iminfiil to (lu.- )iailii:iit, 
luid iH-in^ at llic Miiiit- tiim- tiiiiitlly Hii(i.-*r»iiury. 

|tKMI*<IA|tN'TI.CT IUMiAOR. 

Itoitfr Ont Iwh m WUlUt, Four VnnU in Uwjtk. 

Al>l'l.Tt-ATl<»x.— The iiiiliiil <'xtn-tiiity itf itiv IhiikIh^' 
«tld be yXxuvA ti|M>n tlir wrirt «iul lisc^) l>y t«-ii cin-uUir 



RBOIOSAL BAKPAOB8. 



liiriiM jHLwiiiK fniiii tlie iiliiur (o the r.ulial ttidc; iIh-d t-urry 
iIm- mllur '>)>li<|iii-h' iu'rt>i4( liie Irack of tlip liiiml to the Imw 
itf ilir iii<li-\ linger, pUMi ili4' ImmUif^p iin>iin<l tliiH iid<) iiirrv 
tlw niUcr liiirk to (lie wmi, iimkiiifr a Hrciihir Uim ; it 



rv2 u. 




[•ciml-caniilM kaiuUsi. 

dlioiiltl tlii-n l>o nirrietl nliliqurly a^'nixti llio I>:iim3 !•> iIk- I«)v> 
tif llii" twxt fin^pT, ami «■> ■'iKi-wsiivoIv until tlie Iww nf 
ilM-li of tlip liiij^iT' uik) III' llu- lliiiiiili lias Uvii inoliidtxl ; 
111)' tmiiilap^ iFi tlipi) oitiiiilfK^I liv a i-irciilar turn artMiiid 
lltc wrinl. (Kiii- 44.) 

'Hir ili'ini-ttauiitlt'l liaiitla>;f niav lie hImi a|t]iliMl in nnch 
II niimiKT Mii to iiiviT lilt' [Kilui or till- lijiml ami litivi' tlw 
back of IIk' hiiiid tim-iivi-ri'tl. 

Vm'.. — Tlii.H IniitiluKc iniiv Ih- •'m|il<iyiil In ntiiiii Ii^lit 
i)ruwiii|pi In (Itc clorMtl or iKiliinir Mirliuv nl' tlic liuml. 



SPIRAL BKVKRSED BAKJiAGE. 



.i.'I 



SpICA BaNDAUK *ty TIIR TliCiJIH. 
RtMer One InrA in Wvtth, Tbrtr Var^x in />myA. 



A I 



-Th. 



ml 
irn^ 



IT It* 
tlHIl 



I 



fri.ii'ATiiix.— Ihi- iitili:il fxtn-miiy of iJh- mil 
(ilii'iil ii|Hi» llu- wTi»l iuiil UmiI \>y r w> ciniilnr I 
nirrv ihi- nillvr i>I>Ui|iu-)_v i-vi-r 
dti' ilnDwl (iurfu'v i>t' ihv lliiiinb 
to itA (IJMjil rxtri'niitv ; urxi 
inak*' n <-in-ii1»r i>r I'mrnI liini 
tuntiiitl Uii' (liiiiiilt, iiti'linrry i)ic 
lian(iii;:iiij>wapiloviTiln- l«ick -ir 
till- tliilliilt to the WTiKt, iirimiMl 
wliM*)! » i-in-iiliir tiini i^ioHid Ik' 
nuiHc. Tin- poller i* m-xt mr- 
rii^liinmnil tlii'ltiiinittfind wrii^l. 
iitukiiiif B^nn-ot'-iijilit iiirti>, 
i-fi4-li turn •>vi-rlR|i[iiii;* iIm- |>i\-- 
viiutH iiiH- tuii-tliinU li^ tl iis- 
,1'l>ll^ (111- |1miiii)>,iiii4Ii'ii''Ii ti);iir.-- 

r-<-i)clit Itini itlli-ninlin;; u-illi ii 

imibp Uini illmiit ll..- wri-l. H,rtc* i«wu«e o* iix .l.»u.l., 

'In-tv Kirti^ iin- n'lHiilol until 
(111- lliiiinli i-> iiiiiiiitt'li'ly iiiv<'i>-<l in uilli sjitia hint.-, mid 
11m- Uimlnxi- i- tnii<^lic<l liy a cin-nliir liii-n :ir>>iiiid Hi<- 
wriwl. (Kin- 4'i.) 

I '»«»:. — This twHrbp:' i» <!tn|iloyiit In ui'ldy drt-t^ttiMc* to 
iIm* dtti>«l Mirl'iKv 111' (Ih- thnnili, iiimI liir iIic n-tt-itlion of 
Hliliiil" in till- iln-<^iii;; •>!' InK'Hin'Ti •>■- distiKxliiifiN iif (ltt> 
Imni-H iif llx- lliiiinli. 




SfiiiAi. ItKVKii--Kh I(axiia«u: itr tiik Ui'I'KR 

ExTIItiiMTV. 

Holler Tttit niul <i ll'tl/ Iiu-him in WiMi, Srnm YttrtU 
iu lA7t;flti. 

Ai'l-i.i'-AJ'HiN. — Till- iniiiiil t-xlntiiity of tin- nilli-r if> 
llilaiiil u|H>(i itic wrUt, mill Mi-tintl liy tnn lurun unmtiil 




54 



BB'tlONAb BAMDAOIS. 



till! vrri»i; llu' lumliiijic Ik thvn carrinl obli<(iM>ly ai-nixH itic 
Imi-Ic of the IijuhI tn ilif secirtnl joint of tin- titif;t>rN, wJnTo 
II i-imilur tuni »Ii<hiI(I Im> nuuli-; llif luuiil it- iweml in hy 
(wii wr tlirt* iiMvrMliiiK ^ipinil i.r -tuinil ri'vprw^l turuH. 
Wlmi till- tliiimli Uaii iRt-n niu-lnit, tii- Ikl-ic ami itM* wriKt 
iltv 4iiv<-r\il ill l)v livo li(!iin--iir-<'i^ttt t'irns; the Imiitla^- 
ill tlii'ii tiirriiil iili tin- t'orvarDi l»V fi|)ir:il iiiiil Hiiral ivvi-i»il 
tiirii!^ uutil iho dlxiw ift rmelml; tliii^ inuy Ih> rDVurnl In 
vrilh Hpinil rvvprMxl UiniK, miil iIm.' UiixlaK*^' i» (H-xt uir- 
THtl un llii> «rm wilii niiinil n-vrnHil turtii' !■> IIh' itxillii. 
(Fig. ill.) If, 1)11 niHiiii<; llic flltow, Uil- iinii in Iji-iit iir 



liu M 




BirirklniTvncdbuahaad Uh U|<|ief citmiMlr. 



U to In- flcxtil ill lli('MiliM<<|iii-iil iln<wiiifr, tin* i-llNtw kIkmiM 
Im' nivi-nil ill «itli fi|;iin--iil'-pi)[lit liiriw, iiii'l hImii tlim 
linn |hi-ii iIoih- rtH- nriii iiiiiv In' ivtvcnil in willi !i|iiml 
n-viixil rimi", Wln-n |ini|>rrh' nt>|>lii-<l. the n'vrrww 
■>lii)tt1il In- in liiK', ami ftlimild ntA Ix- iiuulr ovi-r till' |iniiiti- 
iH'iil riilp- .if III)' iiliMi, 

I'hk.^'1 l)ii> if iiiit- of till- idiimI p-iii'R>llv ('iii]iliivtil tifiill 
IIh! nilli-r lMmlii};<-»; il ('••iiMiliitiif tlitt |iriiTuiri' n>ll<T kUicIi 
in n)>|kli4'<l ill till- iln<wu»}; nf fmi'tiin^ of tin- liiifii'>nis, uim) 
ia iilwi llii- liamliip- <-in|il'iyiil iii Imldtii^ (ln-!viitiir^ !•• llic 
nnii nml (••nTirm, [iml in -Mt-iirinK '4|ilitil» lo llii-ti' |itirrA in 
till' Innitmi-iil nr rmi-liin'H imd iliMliH-iiti^nm. 



riOtfRK-OP-tlOHT UAKOAOB OF KLUOW. 56 



Pl(irKK-<>K-KI<lllT RANhAOK itV TIIK Rl.lUltr, 

/W/fT Tifo /iwAm in irWM, Four Vartbi in l^iyth. 

Ai'i'ijcATKix. — The initHil i-xln-mily ui" llii' Ixtttibp' Ik 
1iliMT«l iiiHiti llti- lon-iinii II nliitrl itiMiiiKv Ih'Ihw tlir cllxtw- 
tiiitl, uiKi lix<tl liv iiiti' iir (tvii ciix-iilnr liiriis tlit- unit Ix'iti^ 




l'H)*xiil. Tbc ImiiiliiKi' i# llivM (nrriiil liy uii iili]ii|iii' liini 

[wm'^i lilt- flcxtin- "f lilt' ellMiw-joinI, :iml jKi^i^tl nn>iiliil 

|llic KTtn a (vv,- im-lioi iiU^v tlit- rWmv ; » cin-iilHr iimi in 

tlnii iiiiulf, iim) tlio riilW U next iiirruil iM*nwK tin- Hctiin- 

li>riiii'i-)lN>u mill im^iil tiriHiiiil dx- r<>r\'.4riii, Tlii->4- ttiniH 

IIP' ri'iHTitiil, l)i(' IttrtiK IViim llii- rofi'-iriii aHT'iiil!!)^ mid 

I lli'iH- ln<tii iIh' nriii ■l>-^viiiliiip, i-ui'li ui'i >>f tiint-i iTii-v-in^ 

!n llii' tlcmn- iif llii' tIIhiw itiilil il iu (iiwrii) in, iiiiil a 

llltuil Inrti is (MixMil i-in'ulnHv nriximl tin- i-llM)U--}»iiit. 

Via. 47.) 'VXi'xt* UiiMlit-^' is HtitiHiim-K ii|mliitl liy lirst 

liiuiKiftjt <tiK' or tw>i <-ir>-iiliir (iinix arixiitil Uu- i'IIhiw iiti«) 

ii|>itlyiii){ till- lt|^in'-<»t'-i<i)'liL IiirtiH lu |in-viiiiiiil_v 

BriUtl. ' 



56 



BEGIONAL BANDA6B8. 



HkK,— TluH Immliip- it (iHon cmplnycil oh ii |uirt itf IIh' 
pi|»inil ri'vorsiil Imtulii;^- i>l' the ii|i[ht cstrfiiiitv whi-ii lln- 
jinii is 111 1h' rt<'\<il. ami ih iil«i itmi! tii lioM ilnfwiiij-i to lliv_ 
nuinn of liip I'lliow-jiiiiit. It «;h r'HTinrly nmi-It iiw^l It 
hotil iJieciitiiDivsM ii|M>n lliv wtiiiiid iVKiiltiii]; frunt Vvuk 
lh>n ut \hv i'IImiw, 



8i>i<:a Ha.m>auk op tiir Siioi'ijjkr (^V»t-ii.NUiN<)). 

IttJtfr Tin and a SlaiJ Inriiea in niilth, Srwn Krtwfe 
iH Length. 

AiTMCATiox. — Thr iiiitiiil <-xirMiiity of tlw n>IW 
|)lii(iil oMiiim'ly ii|H>i) (111- ■Hih-r sitrljicc of llic iinti <>|i|>iiiili> 
ihoaxiltiin,' fiilil, iiikI HxmI livi'iioor twuiirtniliiritinis. If 



rm w. 




I—- 1— >i'U«i.'>( alnaliki (Movadliit)^ 



tif riifltl >>liiml<li'r !» lo 1n' niv<T<<<1, llic ItutHliffi' U 
iiirr»il iirr<M> tli<- rmril M' th<- clx-f'l !•> tli<- Nxillii uf llic 
i>|>|HH)lr oiilc, llii'i) itrtiiuid (III- Iwk •>!' the i-lii-^l In tlip 
(■■iii( ..(' Htorliii^ iijH'ii ll"- nriii ; tlirii tinxliK-r tin- nilkr 
nnniii<i tlir nnii of tltix nnlc iijt ovtr iIh' Hhimlilrr, wniMt 





8PI0A nAKtiAOK or THK SnOOLDEB. 






I 

i 



B7 



V fmiil (tf tlw Hif«t, tlin)(i);li thi> oi)jw)i<it« nxilla aiid 
'k nvtT tlif iMiMU-riiir Hirliui' tif tlie iTn*-| to iIh- |Mitiil nf 
:»rtiuf; ; I'oiitiitiU' t<> itmku llicsc iiMvmiiri}; tiiniii, oiirli 
Inni i>Vfrl»))|iiti); tlu- iirc^iiliiitfutir :iliiiii( two-tliirtl^ until 
Uk- MlioiiMur \s iit\ctvi\ ill (l''i|£. -IK], alien tlic cxtrcmily of 
K' Initilii};!- iimv Ih' h>-(iii->I Ity m pin at llir jM>Iiit nf mcl- 
11^', iir itit' luNt turn inuv Im- ittrniil riinii tlic ^IuhiMit 
HPiniKl ilic Iwick itf tli<> iKi'k 1111(1 liroiii^lil rm-uiinl nvi-r 
tin' ornHKilf KlionliiiT iin<) )iiniuil t<> lln- dirii-' witii-li jui^ 
nn<iiiwl tin- iixillii. It ••liiiiilcl lie n'miiiilnTii! l)iiit tlic 
iriM of till- n>lk'r <tV4-rlii|i <ti(-ii ntUtr cxm-tly in titf 



liii|Hmili- iixilla, mill il will Im- IoiiihI niun- ii>niliirlul>lf to 
lite 



]itilii'iit ti> ii|'|>ly n little <iilt(>ii w*ii(Ulinp in tlio uxillti 

lit |in-Vfiit tin- iKiiitbi^c fr>>m cxiiiriatiii;; tlic i>kiii nl' thin 

tmrt. Cnn- clnxiM In- ttikcii tioxi- tli.nt lln-liirn^ iin- iimdc 

in "Hell a iiiiiiirirr tliiil the -iiicii turn- t><vii[iy, it'i ntiiriy ii^ 

uixHililc, till' iniilimi lim- of the iiliutilik'r. Wlicn thin 

liuntlii}^- i>- n|i|ilit«l to tlic M\ »limiMi-r, »Ai.'r (ixiii); lite 

{iiiliiil cxln-iiiity liy riniilur tuniv iiniuiid (In- arm. tln^ 

nillL-r hImiiiIiI \iv mrrict) iivrr tin- Uirk ol* tlu* cltii-l tn tlic 

xilln itC th<- •i|))iihiti' •iilc ninl then l<riiii<;lit huik to 

n- ]K>iiit iif dlurtiii^ : the HintTx-aling liirii;! iin- then 

i|i)ili<Hl in iIn- kiiiii' iiuiiiiici-. 

•Sl'tfA liANHAOK IIP TIIK Slim-l.liKIt (DtXtrKNtllNIl). 

Hotttr TVii riiiW (I llnlj' Incheit in Width, Siif-n YartU 
in fjenyth, 

Ai-l'i.U-ATins. — Tin- initiiil cxtrcniily nf the nilh-r 
hImiuIiI tn' HxmI ii|k>ii tin' iinii :ih iniir ilh |N>M<tl)lc Ut i1m> 
nxilliin' fi'hl liv iiiie »r two rin-iilar liinit, uinl if it ih 
l)i|ilii<i) 111 lh>- riclit >iln>iiliU'r tln-lKiixb);)' Htmnhl Ix- ikum-iI 
niiil<-r tin- nxillii nn<l (^irrit-il <>l>lii|iiclv nvcr tin- rihonlilcr to 
Jir IwH- 111" iIm- iiii'k, lln-n iloMiiwiirtl iti-piiw the fiMhl of 
Jit' i-hi-nl loilu-BxilliioC thcDiiiM^-itc ni<l(-: rr<»u tin- ii\illii 
Jir nilliT IM mrrii-il over tin- Ixti-k of |Ih< rhiT<t In the Iiilm' 
it' the iiM-lt wi an to cnn^ tin- Rist Kirti til iIih |Hiinl ; it in 
iln-ii curriiil <•■ iIm- iixilla iiinl lhniii(r|i llii!', llw'ti Inw-k lii 




56 



RKGIOKAt. BANDA6KS. 



i 



VnK. — Thin 1um<):i|:i- \f nrtcii tiiiplHyrtl iw a [wrt of ihi' 
i>])ini1 iwornnl iKimlu;;^ "f tlic ii|i]H>r extrpmily uht-ii llii< 
arm b* to l»c HpswI, and w alsi) iwil hi hold dn7K)>iiipi Ut Ihr 
rt'^rion nf lh<> vllxiw-ioinl. Il wan Corriirrly itiu<-h tiMtl ti> 
liiijd thoo>ntim-)« iipon tliu woiiiid txwtdtiDg frtrni vi-in«wv 
lioit at the pllwiw. 

SHCA HaN1>AOK (iK TIIK 8lI<iri.DBR (A»(tKNDIN(l). 

Roller 7U and n HiJJ India m IChAA, Scrrn Var^t 
in I^Wflh. 

AiTi.irATioN. — ^Tlii" initial cxlrpmiiy i>f the mllcr is 
plncfl (ililiiiiirlv ii|M>ti lh<> oiilt-r Mirfin')' nt \\\c ami ii|i|H>!(!tc 
iIm- iixillnry futd, mxl Axi-d by oiu' nr Iwn cin-nlar turns. If 

IV. I", 




»t4n»b>uil^«of ilMiilIrr i«»raiiiUi^ 



till' v\fi\\\ rdii-iilihr i" t4i Id- 4'ovrnil, (lie l»iiidii)cc in ni-\t 
nirridi iK-naw (In- Inint of lln* r\\nA lo lltc itxilhi nT llif 
)t|MMi«>il<* M<lf, th<-n iiriiiind the hni-k uf llti' i*lii>l to tin* 
(Miini of Mtnniiiir ii{H>ii tlir' nrm : ttnit timdiu't llir r>>IW 
an>iiud tilt' iiriii of lliir> oidi.- ii)i nvrr the nlmiddiT, ii'Tdmi 



SPIOA RAKDAOK OP THE BHOCLDER. 67 

Iw fnmt ill' ll»> 1'lnf^. tlinnigli llir »i){)iHi(i> nx>\Ui iiikI 

Ixii'k iivtT till' iMUdTtiir •xirlnni' of tlit' i'ii<->>l to thi' |>iiiiit ol' 

Blnrtiit); ; oiiiliiiiH- tit itukf tlii^- tiMi-iKlili^ Uini", itirJi 

lint •ivrrin]i|>in): llii* iirx^ciiliii);!)!!*- iiLiut twn-tltinlM until 

Jir ithiiiililttr in «iiv<T«il in (V'lg- 4R),wh<'n tln-fxlh'iiiity of 

lln- Inimln^- m«v !•«• -Hviinil by » [tin iit iho [Miint of oikI- 

iup, (if Uic liL>l tnrn miiv !■■ iiirrii'*! fmtii tlic hI«uiI<W 

innintl the \wii tii' tin- iKi'k ami liniii):)ii r>>ru:ir<l over 

Ji<- (>|iiKi«ilr tiltiiiiliW iUiil |iiiiiii'<l lit tlx- tiinw u'hirit jniwi 

imtiml iIh' axiltii. U nliotili) )h- n-nu'iiiU-nil tliul tin- 

»i» of iIm' nilliT o\vrlii|t mrli oiImt t-xiMlly in llw 

|t>(i|i<Miti' n\illii, iiml il will )■■ fimn*) inoK' iiiinriirlHltlc tn 

llio )uili>'iit ti> :i|i]tly it litti<> cittori wmldiu); in llic uxillil 

)<> jin-vi'iii (111' luiiitliiirc I'nmi ■■v<<>>niiiin^ tin- >kin nf lliis 

biart. Cun- slmnM In- tiikrn (■• mv tliiit tin- tiiriin niv niiiih' 

lijn nni'lt H niitnncr ihiil (he sjiii-n tnrn.-> iMt-njiy, il-< niiu'ly »:> 

tHM>ili)(', tlic nnilitin line nf tin- iluiiililvr. Wlii-it thin 

lionibiii- i- ii|ii)liit| In t)ti> li-O hIii>uI<1<t, iifUT fixing tliv 

Iiiitiiil ■■vtn-mity l>y cin-uliir tiino iinmntl tin- iinii. ltu> 

• •llt-r ■liotiM )h' mri'i<il ovit the luu-k ui' the chii't U> tli<< 

iviMii 'il' the ti|i|Hi«)ti- Mv iiikI iIm-ii lintii)rlil luu-k tn 

(111- iKiint III' sliitliit)f : llir siii'»'«'«'<linp inrn* tm- tlnii 

l|t|ilic<l in llif Miliir iniiniiiT. 

Sflt-A BaNDAOR <ir TIIK Sllnrt.ltKK (t>l-WKSIiiS<lJ. 

Roller Titn 4ind a lUtif hrhen in Wkith, Srrni Varils 
in Lniffffi. 

Al'i'iJCATioN, — Tlic initiiil oxlrv-inily of tin.' mlWr 
ohitiild In- Itviil ii]Hin l\w nrnt im nuir a^ ]Ki>wilil<> lo iIh- 
nxilliir> lolil Ity nut' i>r two rin'tiliir tiiniK, iukI if it is 
■ lijiliol In lliv riifiil >li<>nlili-r l)i<- IkiihIh^- •tliniiKI !■■ |i:mt>i| 
jikIit tlifiiviliii iiiiil >nrr»iinl>lii|iif'lynvi-r \iw njioiililrr tn 
(lir Ikim' nf llif lu-ck, tlii'ii iliiwnuiirt! lu-nit^ llic fnnil nf 
'Om' i-linl In till' nxillii nf llii- n|t|iiN<ilt- Mik- ; from the axiltii 
Um* mlW in tvrritti nV<T tlic luu'k nf tliv i-Im-kI tn llii- Iiom- 
tif lliH iii-4'k mt »» In i-tiKV till- lilvl turn ut llii>' (Htinl ; it in 
ttH-n mmnl tn llio hxiDii mid tlm>ii);ii tliis, llit-ii Imrk Ki 




68 



BEOIONAI. BAKPAOtS. 



the neck, tin* liirn!> ilisivridiufc townrti tW alitmlrW. 
TIk9« tiini.s lakiii^ tin- siuiic <vitir!M', atv r^'iK-iilc^l, i'ikJi 
tiim iiv<-rla])[>iii^ twn-tliiixln of tlie )>n-vioiia one itiiiil lliv 
.iIiMiildfr U oiivonfl in nn<l tin* I'imiliir turn amiiiiil |1m> 
artii In ivadml, :il wliicli (mint Uw iixtmuUv Ls tuviini) Ity 



< 




I Vi:, — Th<> s|ti(u i«ii(liiui-M III' thv hltmiUliT iirt' i*ni|>liiyiil 
li' li'ilil iir\?4-iiipi ((I rltv xlMtitlitcr, li> Itnld <i>iii|>r>'>Mw i>vi-r 
(Iti: iK'nimiiil i'IkI of ttH- rluvicli- ill ivm< of <lis)iHiitii>ii nf 
tlint ]><ini<>ii (if ili<- Imiiic, In n-iiiin Utc ptluiiiltlcr-itiii iiM'd 
ill lilt' In-Ill II K-iit 111' rnu-liin-H of ihi' ii]i|ht imrliiD) of lli<- 
hiiiiu-niM, atnl t<> n-(iiin ilrciutinp- In lliv iixillii. 

Pint'HK-DK-KKIIIT lUMlAliH nV TIIK NiaK AM> 
Ax 1 1.1^. 

JtoUer 7W Inchn in IF/rftt, fiiw Viirits m Length. 

Al'l'LirATlON.— 'nic iiiiiiiil txln-iiiitv nl" lln- n.lItT w 
(Ixnl ii|ii>ii ilic niili' III' llif itii'k tiiid ncciinil liy one nr twu 




TBLPKAU'tt BANDAQB. 



69 



Kin. M. 







['lyii|i|il!4'<l I'in-titiir tiirixi: il'M]i|tlii<<I t'tllii-nK'it axillii 
itrrv rill- liiiii<Lij:>- rn>tii left tti ri|{lil over llic ri^lit Hliotitdf r 

ttii' {■■nlrrior |iiirt of iht- 

(illii iiiiih'r wliii'li il [MiHSi-H, 

iiMi'itil ill rnuil liver lln- 

iiif >di(iiilil4T t«> the Imi'k 

if thi- twtk : t\if!ii- Ri:iiivh)("- 

|^i[:lil liiru-< iinmitil iIh- ixo-k 

mill nxillii. <wU hirti i»vcr- 

lupiiiii}: iwii-rliinlB t*f till* 

(tn-vtiuiH turn, an- rt-ixiiUil 

ihlil tin- fliwrwl i4|uuv i» 

hvitimI, nu<) llip iKimliiKi- i* 

iKiijili'ttil liy >i rin-iilar liirii 

ir<i(inil tlic mt'k. (Ki;;. -jO.) 

IVk. — Tliiii will 1h' r>Miiiil 

ii'*cliil IkuhUi);!' Ill Mtiin- (ircH(-iM;jb tn tln> Ihjie^- iii" tlic 
mi-k, iIm- u|i|mt imrt of llii> HtionUlcr, iind t» tUv axilln, 
> il diM-s uitt nftrict llic luotiiutt' nf flic arm udI'-sm drawii 
HI tijclit. 

Vku'eaif's Baxda<ik. 
7W linllm Tu-o awl n Half Inefin m W'iiHh, 

Am.li'ATKiN. — TIk' [Kitiint !i)i'iiil<l (iltuv rill- linpTM uf 
plti' IiiiihI of ll»' :il1ii-tiil Hilf "Il till- iii>]K>8itr slioiililcr; tlio 
lliiliul iliil lit' lilt- mlliT rtlioiild Ih' |iI;i<ii| oil lIlc IkmIv i>f 
(lie Mti]iiilii ol* (Id- Hiitml hidf uimI Mvnnil by n Hint nuuli- 
^_tiv «iirryiti){ iIh- iKiiiiln)^- over t\w »liiiiit<li-r of ill*- nlli-<itil 
^Biili-, nnir ilH oiitrr ]ti>rtii>ii, th«ii mmliu-tiiifc it linwiiunnl 
^■^vcr till' iiuiaT ami ixMlorior Mirfiuv of tlii-anii uf llirMuiic 
^^^If, Ix'tiirMl tlif ]H>iiit of tlio clliow, ami otiliiitNly iiciMM 
' till' fi^Kil of tin- •■lii'sl lo tin- axillii of rJii- oiiiiinilc T-iilf, 
^^tJirivi> lo thf jNiiiit itf hUtrtin^. TtiiH t«ini sluiiilil U- 
^Mi-jN-ui4tl, lo fiN llir iiiiiial rxtn-mily (if iIh' l)(iti<lnt!«<. 
^■rlttviiiit <iiin|ilrli<(l iIk- M^tiiiMl turn, rsirry llic rolliT Iraiw- 
ViTm-Iv aiiiiiiril l)i(- litonix, ihimhiii^ over tlti- tli-xiil cIIhiw 




60 



RKQIONAL BA:1I)A0KS. 



of the fllTif-tc*! mdc, fnmi tlim ]Mtiiit tu tlw iixillii, tia*l 
Uii>>iit;li tlii> to tlic liack. Fn<iii lliU |Hiii]t IIk- nilU-r in 
Hirriiil xvir llic •'hiiiililcr iiii'l it'iu ii tlu- oiilvr iiixl [HxtiTinr 
hiirliiif III' iIk' ttnii Ih'ImikI i)ic ■■llntw niiil o1i1)(|(i<-ly iu*ftiHN 
flic fi-iiiit 'if iIk' t'liL't^t tliriiii^li till- ii?iil):i tu ttif liurli, nurl 



na 



4 




V«l|«aD'> baiHlaRc. 

iiiiitiiiiiiii)i!, |<iiK<4-!4 lniiu<vfrM-ly aiTiRtt* ltiL> lieick of llti- i-liiwt 
In lIlc cllxtH'. wllit-ll it <'ll<-in'li-n, tlicii iiarwiitt: to 1)h- iixillu. 
TIhw iilti'nmliiiK liiniH niv n-]M'jt«tl iiiiiil rlic iinti aixl 
(iin-tinii iirt' UhidiI linulv (•• tlio mU- uiul >\n-!'l. Tlii' 
wrtiml tiiriL'" ovit lln- hIhuiIiW, «w1i tiini iiivcrintr in 
Iwii-lltinU 111' (III- |in'vioiin tiini nitil ii^viuliii)< fvt>tn llii- 
jHiiiil of tJii* kIiiimIiIit Inward l)ii- iitx'k uitt) iVuiu llic 
JKMti-rior Mirliuv of llip ami towunl |Ih> oIIh>w, an- u|>|>li«il 
until titi' imiiil itf iIh" cIIiow ic r«n-liwl. Tlic iniiisyfrw 
Uim." iHL'c'iti^ aroiiiid the rlioi niid nrin an- mt u]i|tlii-«l timt 
t}N'V uMi'iid I'niiii tlif |>i>iiil of tilt' i-IImiiv tnuard llic 
hiiiiidiliT. fiwli mm <i.>vmni: in i«m-lliinl of tlu- |Mvvi<iii»i 
iKti-, iiiu) l)tr luM Inrii hIhiiiIiI luirw IniiihVcrai-ly anuiiid llii- 
flxjiildt-r and t-tn'sl, •iivi-riiiK llic uri^l. [Vig. dl.) 

Tiif ex In-Ill il,v itf iIk- lauiiln|tt> hImhiIiI tx- itM'iinil liy x 




DB8A0LT'8 UANDAdE. 



61 



tiin wIhtp it i-mls, nad luliUtional fisaliDn will be eemred 
>y iritriMitx-ing a niitiil)rr of |iiti)S at tlie pniiils wh«re the 
l^^lnnK; uf the Iniiitlutfo cruw «ich uIIht. 
^B Vhk. — Tliix tKitwiap.' i^ rnipluvot to lis tlio arm in tlie 
^Blviitnu-ut of cvrtuiti JTurtiiiy-«T of tlte t-lavicle iin<t s(^|ttil3, 
^k]«» 111 ftinirc ttxulioit of tlic linmerim ufU-r tli<- niliK-tiDii 

■ T) 
I _.it... 



Thrff Rfilm Ttro and a Ilitlf Int-he* in WiM, 
Seven Yanh in Lmgtit. 



yxfilp'-AmyfA )Mit to fit in tlie nxilla is n1-*(> niiiiti-i'il. 
TIhsi' rolltm an- known tw l\w firtt, »Gxmd, u,\m U»ird 
n illcrw. 



Fint JMlrr of DttauiCa Bitndagf, 

Al'n.K'ATM.N. — lieforc ap|ilvin;r the lirst roller llip nmi 
if ttn- |iuti(-]il ui) ilio injiin<u side .ulionld Ik- elcviiKil iiiiil 

Fib. hi 




ii|'( laiiilag*. 



tminl oir nt rif;)it nn^iiti to llir ImhIv ; llir M'(ilp--iiliiii>r<l 

A witli itn IqiH- in tin- uxillit olxinltl lu-xl In- a]i|iliii] lit 

iln' niili- of ilio rlicst, ami tin- initial rxtif niity of tin- mltiT 




M 



RXOIONAL BAKDAGKS. 



of cotton kIiouM Iw pliuvd in the axilla and Allowed la 
iixlMid firoin the axilla to tJie elbow ; the latter ii uwd to 
prevent the oppo«<ing MirfiuwR of skin rmm becoming ex- 
(iiriatul Ity e»nIal^, 

Ai-i'l.irATio.N. — The initial extremity of the Imndii^ 
la plai-ed iip«>u ihe spine at a jmint i>ji|toc4iie the eilxiW' 
joint, and it is fixed l>\ a tiini or two luL^in^; around the 
arm and ehe&t; the l)umla^> is llien fontiniicd by making 
aaocnding Hpinil tiirnn, <-overing In Ihe arm and i-nnit until 
the axilla ib reaehed ; at this point the handa^> is earried 
thftu^h the axilla and over the liaek of the t4iest to the 
top ol tilt' opim^ile )Oiotildi'r, ami it is tl>en eondncteil 
down the fmnt of the ann to the ellxtw, is paceed between 
the arm aiid chest and rarrieil up the l»rk of the arm to 
tl>e Hhoulder, and is thtn passetl obli<piely aenwM the front 
of the I'hnit attd is eertiml uixtn the liflek of the ch««t. 
Pint) shonld be inlnKlueed at tiic |M>inta of enwaing of tJie 
iianda)^. (I'ii;- •'>>>■) 

I'kk. — Ti\U liandajre will Im" found iwrful In Rxing tlie 
arm to tiie lioaly and in (ixin;: the shonhler-joint whcrtr it 
i8 'htiirable to allow the foi^nmi to be free. It \» em- 
ployed in Ihe In^itment of fnu-lnres of tile nhaf) and neek 
of Ihe huineni.s to fix the arm and hold Hplintn in pot^ition. 



Bandaff^M of tbo TruDk. 



.Sl-tllAI. ItAXt>A(*K OF TITE ClIEtn". 
Holifr Tttrtf IneA^ in Width, Mm iUirtU in Jjotgih. 

Al'ri.li'ATlos. — The initial extremity of tite mlW in 
Hppliitj to till* anterior |H>rlioti of the walsl, and fixed bv 
one or two ein-ular turnx; the IkiimIup- i« then carried 
upward, iiidn-linK the rheat by nweiidlnic opiral lumH, 
MU-h liirti Koverin); in one-half of lite prevloiLi turn until 
the axillary Pilii w r<iirhitl ; ibe roller is next mrriecl 
amiinti the nxillii !•> lhi> lint^k. ami oblii|ii('Iy ovrr this to 
the Imun' of till' nii'k of llie opiNwile p;i*le, arxl then it may 




AKTKRIOB nnURK-Or-KIOHT RAKUAOK. 



67 



jiUttHiI <lriwn ovrr till! ctii.'sl mid iMiiiml to tlic> xpiral 
turn!* nt wvfml ixijntta; n ]>iii Klimilif iiL-wt Im- iiiMTlra iit 
till- |Miiiii whoro Oh- liii>t turn of thi< mllor li'ax'Vi) tJie i>|>inil 
torn ti[<"li tlx- lufk of tlx- elicit, (i'ifi- •>7.) 

no. a. 




mrtl t«ildi(cui 



IjVr, — Tlii" iKiiMlnpc is rniployi'cl l«i Iinld (In-wlnjpt i>t 
in' Hintt, nwl miiv U- iim^I as ii ii'injH)niry dnWii); in 
•InnT of the rill" or rtH-niitm. fun- hIhiuIiI Ih- tnki-ii 
iuit till* lattiLmi- U' not Ml tj^titlv u{>])lktl iiK III iiiUrfcn' 
willi rw*|timiioii. 



Antkimor Fi(a:itK-(ir-RiiiiiT Kam>aiik of tub 
('iii»r. 

Roller 7W ft$id n II<t^ Tnche* in Width, i^mii Yarja in 
Lnu/lh. 

Afl'LHATinv. — Th«' inilinl fjitn'intiv of tin* rotW 

nlnmM Ix- (ilnnil in ttn- iixilla nf mii- niili', ami tltr Imn- 

Hhp' i" ttiiii i-irrioil ohliiiiicly aero** iIm- ntili-rior {Hirtinii 

|if ihf I'liii'l to 111.' Hliiiiililt-r 111' llir oiiiMiwilr Hiili" ; il !■> iJh'ii 

irri<-<t lim-kwiin) iinHiix) llic iihoiililcr nixl lliroii);!) Ihr 

cilld, mill in iivxt iiiiMln(-U<i) (il>li<|iii-lv nvrr (Ik- niilrrtur 



08 



RSaiOKAI. BANDAOBS. 



)H>rtioti itf tlic cliwtt to tlip oppndtle bIkhiIcIct, ilimu(:h ifit- 
iixiltn Eiiiil ii;>!t]ii liartf lo tile anterior ptirlinn of l)io i-lti'sl, 
tlic tiiriiH cnwiiiy in tlir initliiiii line over tli« ctfnium. 
TIii'W! turns bIhjuUI Ik? rt'|K>jit«i, aMnctulin^; from iJii- 
Khoiilder towanl the uwk, (wh Uini i>v<T)aji|>iDg tlin*- 
ri>iirth« (if llu' |>r('i'iiliDK t«»e, UDlil five or sis ttiniB have 
I ^ 

an)u[i{l th4> (■)K<et. 



Hfii anplIM, till' cwl of till' lundnge l»eing wciiiwl liy a 
till (Fi^. fjK), or it uiay 1>e completed by a drciilar turn 



Fir,. ». 




UaI 




AiiMtlor lwar»4>ralcht liuiilac* of ib« cliaA 

Uhk. — Ttiw IniikIajci- niny be entiilovnl to bring itw 
(•ItiMildiTx lonvnnl, iiiiil to hiiltl dreteiiiifrs lo thv Buti>rior 
|H>rtion III' llic •■ln'^l. 

l*l)MTi:i:l<>U Klitl^KK-Of-KKUIT KaNDAOK dp THR CnVXTT. 

Rol/nT 7W an'l a lt»// ItxAfi in WuJlh, fkvai Y<mU 
in IjfngHi. 

Al'l'l.irATlON. — 'die iriilin! ■•stn>niitr (if the lullcr 

■lloiilil Ih- iilnoil ill till- iixilU nf liir icO Mil*-, aiitt tll« 
liuiiilaut- in tlii-ii iiirritti iitiliiiUcly arnon the liiu'k of tlii! 
eliiwl Ut iIh' li|i of till- 'iiiiHiHtl*' nhoiililrr; it i» dcxt mrri«l 
|]in»ii|;l) (Ik- nxill»-iiii<l n>it<l(i<-l<il iwrnw tlic jNiHiirinr |M>r- 

liiMt of till- (-lui^t III till- liji of till* Oj>|»>nilO dllirlltlllT, uiwl 



SCSrSKflORT AKO COHl'KBiiSOR UAHDAGB. 69 

Uimiifch Uic nxilbi to the point of starling. Tl]«w 
as an- n')>«'at«l, awvmdiiiK fmm llie ^ihniildtT lirtviml 
Jif iM»-k. until live or six liavt- Ik-mi a|i))li(H), ihe i>iiil nf 
Jit- ImukIs):)) iwiDg secured by a pia. (Ki]{. n'J.) lu 




lvi«Urtar B«a)o«M(IM tmmU^ of Um that 

||t|tlvitii; Imtli <>r til <■!«■< liiniidiijf(«< the mirn'M itf Dm- Imui- 
litKi-, i-iiliiT siiiri-riiir or |H*>tt'rii>r, sliiitild Ih' miidr in tlit- 
iiiHltBii lirtf 111' till- 'U'-^t. 

I'sr^ — Tlii^ liiitidiip- rti«v Im" pniiilrtvrtl tn liotil 110*^1111^ 
U* Uicr jKiiiicrinr {lorlion of |Im> vin-nt ari<l Ut dr.iw Ui« 
flJiiitildiT^ Inu-k M'linl. 



Si'HJ'KSNOIIV AXIJ <V>Ml'ltl-»*l)n nAKDAue or THE 

JMUr 7\n> awl a IliUf hehn, in WltUk, f^nrn fan/a 
in Lfttyth. 

Al'l'i-lfATlOM. — The initinl cstrfiiiity nf llio nitli-r 
oliiHild l)r ])liii'nl iijH.ti tlir fV^piiluof till- ilflivt*-*! t^idi', niid 
Mi-im^l \*\ twii ot>li'{i>i' Inrtiji cnrricHl over tin- njiiMKiiti- 
tilioiildrr itml nmdiii-t<-<l downwiinl uii<)cr IIm' lirmM to 
Im niv(>n-<l ill, iind llicn i-nrriiit In the uxillii of llir aiinin 
■id«. iitxK i-an-y thi- n>ll<T imufvcnn-ly imiun<t tJir chrat, 



70 



BKOIONAL BANDAGES. 




covering in tliu lowii^t jHirlion oC l\w nffl'o-li'd Itn-oMt. 
TIkvo (iirnK mIioiiIiI Ik- iV[K'alc(l, llio '•liliiiuc liirii* Inim thf 
Hxillii uvi-r the f^li'iiiliU'i- :ilUTiialiii); witli tin- traiii(vi.'nw 
tiini.0 uruiuitl the clio-l iliiiII llic lirvimt ir« ci'VitmI iu, uHl 
ei*rii-fs of tiiriiM uM.t'iiiliii;;, unci ravt-ritiK twu-tliirde nf thi- 
pwcLiliiig turn. (Kig. (fU.) 




I*s»:. — This Inixlnfir- is Mnplovcd t" Mijiport llif tirrw*l 
Htiil Id miiki- >i>in)ir<-!iHi<in nt rln-siitiK-liiiif; it itiiiy abni \h- 
rtit])toy(<(t lu hnl<] tlmwiiitpi to lti« tiniL^t. 



SinU'KNMIItV ANI 



<V»MI'H»wm BANOAdK UK B*mi 

KltKAtfT*. 



Two Roileri Ttro auit a Jlatf /ncA.* in Wi<llh, Snm 
Yardt in l^igth. 

Al'I'i.irATiciN. — Tlic initial cxtivinity iil' thi- ImiHlngT' 
hIi»iiI<1 Ih' Mf-iirtil W •ililiijiic liiriipi i>t' iIk- uxillii aa<l 
ohouMrr »> in lln' |)rc<-filiiit£ IoiikIiiki-; the rr>ll(T should 
IH-Kt Im' mtTi<<<l tmnKvt-i-M'ly nniiiii<I lln- ImcIc Io tin* liniuit, 
tbvD uudfr tlic t>nit!it nnd iipwnnl tivtu* tlio »|>|iu»i(e 



i 




SOSI'KNSOKT AMD 0OHPBB8SOR BANUAGK. 71 

iiitilhliT, then i>l)lifjiie!y cluwuwnrtl uixmiihI (he rhvst In tlw 

tilliiT PHlf, tit-injir (iirrit^l tmnavprsfly over tlie lower jxir- 

of Ixitli bruisu to the jMiint of slartin^c ii|w>n tho 

nA. Rf'pnit tliw* i.>l)ti<|iur tiiriis from ihe slioiikli'r to 

lie linw>I and from tJie Krvtist to the slimilder, nnd alter- 




<ih tnou 



tint*' tlMiti vritli a tmnttvrTse tiini nnmml the r]ic«t ami 
icr iHiiti l>n■a^l.■'. lloih in-rii^ >if tiiroK "Imnli] ns^iiul, 
iwl «i4'ti lurii sJioiiIil ovvrlnp two-iliinls of llie |irwvliiig 

(Fig.«i.) 

Vnr.. — ThU Iwiiilimr in Ptiinloyrd to 8U|tport awl i-om- 
an-Kw iHitli trri'ifl" itpxl to rcliitii <)n'N>iiigT> (o thcoi. 



72 



REGIONAL BAN0AGK8. 



Bandasee of Uw Lower Bxtrotnitjr. 

SlNfiLK Sl'K'A BaKUAOK OK THK GnolN (AhCENHIIIO) 

Roller 7V?o and a Half Inehea in Width, Semx Ynrdn 
IN LcMffth. 

Ai'i'i.n'ATni.v. — I'liKv tin- iiiiiial oxtreniitv "f tht* Um- 
iliit:*' iiiKM) tlif iiiiliTior |Hirlii>» of 1)h- rigut llii^h jiwt 
Mow rln- jri""in iunl wt-iin- it l>>- oii« or two t-intilur turiw 
iiniiiii'l tlic llii;;li, nr jiIiut tlif tiiiltal rxlrtiaity nl' ihv mlli-r 
ot)lii|iiply iijwn tlit- ii|>|K-r |iart of llic Hugh iind (■nny il 

Fw.Si 




A««imIUi( (I'm tiuidi«a of tli« ifgla. 

behind llti< Uriili nml tipunnl nroiiml lh«> oiilt-r xhI« of Utc 
Uii);li to i)h' iiIhIoidcii, iiiiiittin^ tlic rintilitr tunii^; Utt^ti 
ftirn.' tlif I)UikIiii:<' olilinm-ly iutxw tin- luwt-r |x*rl of Uh; 
aUKiiiH-n t>> II |)»itil Jii-t Ih'Iiiw ihv cn-f^l of tlii' IrO iliufl) 
uiiil mndiK-t it tniiiMwntfly iiniiin() tin- Inu-k of tin- [wlviit 
lo a mrn-ciMiiKliDt; |(c>iiil on the ooiNtfilc »i<)r : (lira briup 
it iiitliiiiiflr (lownniinl In llii' ^nii over lo tin- iim^r |>i>r- 
ttnti of (III' ihi^li, niri'viii|r il iir»iiti<) l)ic liitili, t-niwtiii|!; 
tti*' Htartiiig-tum iu iJio tiiiddlv Inw of tin- tJii^ti. Thiiui 



J 




smObE SPICA BAKUAOE OK THK OROIK. 73 



tiirtiK an> n-Miihtl, uh-]i Uini loxx-ndntg iiik) <i>vvrint; in 
Iwti-ihinlc rif \hv (xv-viiKi-^ liini, niiltl oix or vijiUt toiiii{)U-U! 
|iin»> linve Ixvii iiuul*.', iiik) (hv buiidugv u a.-ciin.-4l ut auy 
|l««Mnl wlii-rt' it L-nifct. (Fig. «3.) 



IfiuKiLR StnvA Ba.\[)aue ur tub Uujin (Di«cKNniiiij). 

/EoJZn* JVo amf « /fii//" /nfA« in WtM, Snm YnnU 
in I/cui/lti. 

.V i'PIJrAT«>N. — line* IIm' inilml o.xlrcinilyof lInT(illi-r 
<>1tlii|iii'ly ii]Nin III*- niiltrior mirtiui- of ibi' rijilit tlii^li nixl 
Hfuri' it bv out' itr Iwo ciix-iilur lariLi nmuiiil ili<- liinl), nr 

Fw.«. 




I 



DciwnilUii Apln tauHbitv •>< iIh'KK'Iii. 

nlvrl l)ti- l<uiM)iip' willi nil ol)li<|tii' iiini, iv< |in-vi<>usly 
d«««rrili(>(l ; tJicii r»rry tli<> luiiMtii):*- olilii{iM-h' iutxiw llie 
BlutoiiM'ti In Ik |»iiil jiiM Ih'Iiiw llir i-n-hl of Uii' ilium, iiihI 
ii>n>!iii-i it intii^vrrM'ly iirouixl tin- ixH-k ut' tii<- im-IvJ-i to x 
ii>rn>>|)i>n<liii)> |Hiiiit iiii llti- <i|)(HF>!tr nidi- ; ilii-it lii-iiic it 
t>)ilii|iit-ly ilowii iiviT lilt- l'iw>T jMirtturi ul' tli<- iilMl"iiM-ti, 
iniwiii)' (Iif tint turn, li> llii' jiint-tioii of itii- lliigli with 
llw- M-n>l(itii, (Kuv it iiii<i(-r itii- tlti^ti iiiid lirinK i> »\> uvt-r 
llw luwiT [mrt uf tliu iilMlmm-n, aw) It-t it rtillon tJti; i.xitiiw 




74 



KEGll>NAt. BAUDAQBS. 



of tlio fimt turn. Th*-so turns are ifpnntwl, twch tura 
ilfW-ru<ltii(; Htiil (iv('rlu{))iing tuo-tliirdH of thf iircvioiiH 
turu until iIk- urnin i- ivivtmi (Fig. *V-i). Wlicn either of 
llioK- IwtKliii^'H i^ upplictl to tile len Kmiii, ntler llie itiiliit) 
exin-iiiitv ol' tlie ntt\vr Ih lixwl. it in cnrricfl first to the en«t 
iif the ilitiiii uf the Niliie siile, then an>uiiil (lie baek nf the 
jK-lvis to II <-iirri-siM>ii(hn^ |H>ini ini lli<> ■ij)]Mi8ite aiile, tlieii 
i>l)li<{iii'l_vi[i-nis>' llic liiiver jiurt '>!' llic alHlnim-ii to llie miter 
li.-|HTt 111' till' tlii^h, lieiim ooiiveviii lunlrr llii-' nixl hroiight 
lip iM'tweeii the ihijrh ami llie «i'i>tiim, |iiii-»iiiii: obliijiiely 
over the groin to follow the roiinw of the original turn. 



l>>i:Bt.K SriCA Uamiauf. op thk Ghoikei. 

JMkr T%rrt Inchm in Wi'Ith, Mm VartU In l^rngth. 

Ai'i'i-fATinN. — The initial extn-mitv <il' the roller w 
\i\»t\A iipm the alMlnmeii jvoA tAmvv the iliac ert-Ktii and 




Mr >i*n Nui'Unb eJ Um ^Toliit- 



Huniml \yf one or tvo rimiUr InrnN; iW Imnilii^- to llii^ 
rtim«fl fnini ii iMiintjiu-l Iwlnw thi-err'-t nl'thr ri)jlil iltuni 
ithli<|m'ly nen>n> llii- hiwrr |N)fti<>u of the ulMluiuen In tJie 




SPICA BANDAOK OP BUTTOCK. 



75 



iT iNirltiiii of |)m^ llii);l), mi<) U tnrriiil nroiiml llii>' iiii<) 

lltroii^lit up iH-titn-ii l)io ncnitiiin uii4 tlx- ttii^li. uiiil in 

li>Mnml i>Mi<|n('l\ i.viT tlw jin'iri.iTiw.-'iiij; tin- (nx-viiHw turn 

III til" iiMtliitn ItiK-. uiiil i> iiMxliii-Uf) to II imiiit jiiHt Ih-Iow 

itiic '-nv t uf tlx' tliiiiii oil tilt- oniiif )>i<lf. The liiinilii)^- '}» 
tiwa (vmliiiiMtl nhiiiixl llii- [H'tvif to tlv miniv jiuiiit nii tin- 
n|i)iiKatf xidi-. imil Inifii tlii^ |>oiiil if iiiimIc m \m*s ol>lii|iii'ly 
nvi-r tin* |rn>iii lo tlu- iiiiHT mU- <>l' ibi* (liinli. |Kt>»!ii}; 
Dnmiitl tliix itri'l ii'iiiin); ii|) on iIh oiiUT ••UW; i-iiiFioiii^ llir 
Itn'vioiiH tiini III till' iiiiil<))<- litiv of ihr fcriiiii, ('> hi- (iirri«il 
■ il>lii|ii<'lv ni'nno tlir jiriiii) iiihI liiwi-r |Hir( i>l' llii' :i1hIoi)icii 

^■■rv n'lHfiiiil, (iM'Ji tiint mvoriii); iii two-tliiniK of iIh; nro- 

^^%'ioH» iiirn. until lM>tli grDtiir' liiivo liw'ii rDVi-nil (Kiji. 

(t-l). Ttir tiin)!> iitity Ih' •»• .iiipliiil tw to iiMvn<l or (Ii^wvihI, 

forming l)ii- iiMi'itiliii): or ili-wi'iidiTi); ilimlilc '•jiim lKi:iibi^ 

i«if till- i;roiii. Wlifti |iiv|K-rIy ii|>]>lu->l, llii« fuimliinf ]>rr- 
N'lit" tlirci- H«i>> of croKi^itiK tiint):, om- in noli i^tiu hikI 
Qiu' ill till- tiRtliiiii lint- of i\w hIh1oiik-ii. 
I Umk. — 'Hh- "[tini liim<Iiin-4 of th*- p:niiit, ntlicr iiiiifilc or 
ttfiiiliK-, iiri' ■•niploycd ti> lioM iln-w<iii^ 1<> wmirHi" in tin- 
ititfiiiiiiil n^ioii — for iiiMaiKr, llm-^- n-jinlfiii;! fnmi Iiirni- 
[>Mniy, or fnxii <>iH-nil>on ii|Hir) llic ^liiixln of lite ^iiiiii. 
Thcv an' nlwi i-mji!'>_vwl to niiiki- iirfwiin- ii|hiii ttiii' n-gion, 
iiimI will oncii provf of iiM- in llit- Mxiiriii); of iviiipnwH.-» 
^^ipiilinl fur thf Uiii|>i>n>ry rftrntimi uf liiTniii'. 



Sl'ICA BaNDAOI: op BiTTfK'K. 



I 



Rolter 7\toaiHla Half farita in Widlh, Sevm Yarja 
in Lmfflh. 

Al't't.l''.VTt<iv. — Till- iiiiriiil cxtn-tiiity of tin- tmmtii^ 
in pliK'nl ii]K>n tilt' lui-k iif llii' tlii^iti jiHt Ih'Iow tin- |;|iil<nil 
folil. iiih) IH iiirri'''l iiroiiii<t llu' thi^li mtil liri)ii);lil luu'k I" 
Iti*- iHwicrior iL*)H^-l ttf ilio limli tto mm In fix iiml cTtMN tlir 
lUrtin^ turn ntnr l)ii< ini<lillr of tUi' thifili. Il if next 
niliductto) oltliiiiicly tuTn-H tlir thi|>l) niiil l>iittoi-k)t un<l 
rnrriitl to tin- nin of tin- [n'lvin of tin- iijij»o*iU; miIi>, wben 




76 HKOIONAL HAirUAOKS. 



it in lir(iii)r|it i)lili<gii4>lv ovor tlic iilnloitMm and Ixii-k In tbv 
{ia-<ti'ri>ir stiriacc of tm- tliipli. TlH-n' ii.-*Titi!iin: tiiriin art' 
ii)t|»li<Hl, ciic-li turn i^>viTiii}[ in alxtiit tlini'-rourtlis of ihr 
iixt-cdine oiu>, until tho buttock it(niv«'n>i], nnd iJic Imii> 
Itip- is tni'ii liiiiHli<<cl liv one or two nniiUir iurtm imMiiiil 
llir ]M-lvis iukI alMtunion. (Fi);. GH.) 



,■,' 




IhiiiImcc »f bmuEk. 



U8K> — Tliiti Itiinduge h rmploved to luilil drcwinj^ ttt 
tJlH upper putttt-jitT jHirtion of ibi^ tlii){b, or tJte )>ultcK-k. 

FlOCTRB-Ol'-KIOHT BAKI)AnK «K T1IK KXKR. 

Ho/itr TVo awl a JTalf /no/Im t'n WiJti*, Five Yards in 

,\i-i'i.HATi<i.v. — Tlir initial i-.xlri'milv of iIk- nitlt-r is 
|it]Mi-il u|*on tiu- illicit thnv iiiclivn iilxivi- llu- {Nitcllu nnd 
MTiitTK) ny twiior tfini' rirciiliir tiinw; iht'n nmdiu't th4' 
laitiUip' ovt-r ttH- outrr itutilyli' nf tlio fi-miir^arnsA thv 
|iuplituil epiMX' to llif itmvr l)unliT of tiiu tibia uud iirouiid 



riouRx-or-ciofiT bakuahb ok knkk. 77 

Jii> anliTiur Mirfiuv 1m-Iow llic Iii1mtc-Ic awl Ixnil of tlie 

)l>iita, tiDil iTiiiki' •iiti- i-in-iiliir Inn) ; llii- roDfr ^lioiild llieii 

■iirritil oliltifDcIv iii'n>Ni till- |Hijiltti-ul n|Kiit- t" llii' iiiiiiT 

iHidvti* 111' ilif fi-iiiiir, <'nis:^iii^ the |in-vii)iiK luru ; thiii 

trry il iinitiiul tltc I'miit <<t' liir thi^U to tin- oiUtT 4-oiiilvl<> ; 

I'lHiii. Uiiiw.' tuniH. HMviitliit}! loMiinl tin- knw Cmiii th« 

ivg nml ili-MHiwIiD^r fhirii tlx- tlii^li lowiinl llio kiiti', and 

JtiUli the luiiil:i^' by ii <-irtitlin' turn itvi-r tin- jiiitrlb. 

[Kill. 66.) 

rill, et 




VfK. — ^Tliiii 1ifln<l:ii;<> it^ tnipWcd to hold dn-!«iii}fH to 
JiP liiMt-ji'iiit t'irliiT aiitcrinrly nr [MtrtcriiTlv. Tin**- 
R);iin*HirH'i;>l)t (iini!^ iirt' nflfn i'ni|iliivtil in iiivt'rin^ (ht- 
(iH-*- ill n|>|ilyiii^ tin- n|iin»I n-virsisl iMmlnK*' nf tlu' lnHcr 

fxtrfiiiity H'lirn il !» dcnin-d di;it tin- puti«-iil Ur allnwHl tn 

' und tlif km-*'. 

FiurjitK-(iK-Kiiiirr Bamuuk t*v Both KsKtx 

IMler T^eoanda JTal/ inchf* in Wi'Uh, Sn-m Yar<U 
in I myth. 




At-|-I.H'.\T10N. — ria.ll' lllr ktlM-sonlM- (wlHIlt toj^-tlllT 
it'illi M «tilD|>n!n« lM-tw*c«-n ()ii-lti ; lli<-it [>ln'^- tin- iniliiil i-X* 



78 



KBGIONAL BAHUAQBS. 



tn-mily uT lliir mlli*r ii|>«ii ttnp lliigli, iiUMtl thnv lorhm 
alii>v<- rfn- jialrllii, ninl p^-din- it hy »w or iwti cinitlnr 
tiinu anxtiKl IniiIi (Iii^hn; Uiru omiluit dw rttlliT rnini 
the tiatrr mn'lvk' nf the fiiniir oblinuciv iwriDw the patv 
lilml fjKKi'K i>f IniIIi Itys tr) till- linul of llif Htitlla iiti tile 
o|>|>"'il'' fitli-, Diiikiti): ■<'in-iilnr liini nnitmt) U>th K-go; 



na.«. 




ntvMir-vlghl ■■>«■(■ or hoik knM*. 



I«iw. ilif nilliT I'riiiii the lirad of thr filMiIii on llir f>]itKwit(< | 
^l«lc n>-r<>w till- iHifilitiiil s[>a<v to ih** t'Xtvnml outulylc 
"]iiN>-iii- till- jMiiiit ul" Hlartin^. 

Itfin-nt tliiii)' biniH, d<^A)vi)(liii>; from iIm- tlii^lxt mnt 
nMfniliiit; rr<>iii tlio 1<iri, until ihi- kiif^f atv covvml, mi'! 
IIiitHli till' luiii<lii;fc !>}' (^irryiii); u turn of tlu- iKiiidiip- at 
riirfil iiii);li-« It. ihc pn-vioui* tunw Iwiwit-n tin- lhi|:l)H niiit 
ill.- Itv«. ( Fitf. G7.) 

I'mi'. — Tliiri iKiixiap- !» tnijiloved to Hpt-iin- fixiition i>f\ 
iIh* liinlwi iiDiT ti|M-nUtuii ii|Niti thi* iifriiiHiiUiiiixl nuiy iiImi 
Ik* ii»|>luycil to oliliiin ti'mi>ornn- nxslion of lh«- limbo in 
1mit<i|i(>rliii); i-.i'ii-^ of fnii-lon- of lIu- itm-k of tlx- fi-niiir, 
aiHl iiftir till- n-iliit-tion uf ili4>H-:ttiou>^ of iJif luiwl of tin- 
frtlllir. 



8PI0A BANDAOX OF TBK FOOT. 



79 



Si'icA 1!ani>a(ik ok tub FiKyr. 

fMlfr Tko and a Half Hehes in Width, Fice Yarda in 
Lmgth. 

ArPt.H'ATlos. — Fix llie initiiil extremity of the nillrr 
iijmn tlw aiikif bikI *»«ire it hy two c-imiliir turns ; lhn> 
vKtTK IIh- lunflnK^* obliijiwly over the clursiini of the frMit ti> 
tbe mctalmso-plialanjtml arti<-iilation nnd m;ikc » cin-iilur 

Llnni urmiixl ihe fitiit :it lhL« jKiini ; tht-ii continue it u|iwiinl 
over till' metaliirsiiK liy niiikitif: two nr thif<- wpiral revfi-^-d 
liini^; next <«m' the l«ii(hii;e [Kir-dlUI with the inner or 
JUUT margin of the S'>le of tlie tVi.)i, atx-onlin^ lo whether 
is afipliitl to (lie ri|fhl nr left foot, direetlv aemw th« 

'poBlcrior ourfiKe of the heel ; thenee alon|^ uh: opjiuiutc 

nu. M. 




n|4<B tan>t<K« of Uic tixil. 

iMtnW of (h" fiHii nitd liver the (lorHiiiii, mewlti^ ihe 
iin^iruil tnni in the mediiu) Itite iif (lie fiiot. '['ht« »>nt- 
i)ili-l>-~ till' (ln>i Kiijiii liini. 'I'hi'w H|ii>'ii ttiriiH lire r<'|H'Jil"<), 
[irnMhwilly iiMfinHnj; hy iilh<\«in;; ^wh turn In <viver in 
jlhrrr>-r'iurt)iH iif ihi- jirci-niinf; turn, until the foot w 
|mvrrt<il ill Willi ilie fxit'|>li<in of the |ii»teri"r (Hirttiiti of 
\%iu' Mih- of till- h<-e|. (Kif;. liM.) (^irc fhntihl Iw (nken to 



80 



RKOIOVAL BASDAOKS. 



AH* timt tli<^ titrnH crow uu')i irthcr in tlio nH^dinn line 
of till- WxA, rind tluit tlioy arv kept iiiinillcl lo iwili olltrr 
lJiri>i]):;l)i>tit tlivir lT>un^^'. 

UsR. — ThtM iNimlat^' will 1m^ KhiimI vitv utH<riil wlH>ti it Jh I 
dcKim) to tiiiikf linn (imijm'wioii iiixnt Iw I'xil »r to n-tniii 
dn-j^iiijp to il ; ii U twiKfinlly iwliil in tJn- Iriiitiiu-nt uf] 
8|»iiitw uf th«- wtklt' ur Anterior tiirsnH. 

Banuaub op F<x>t Cuvbrino tiik Hkri. (American). 

RofUr Tieo «n</ a Half Jnehn in WidA, Sertn Yard» 
in Length, 

A ppMOATtOjr. — Tin- iniliiil extivniitv nf th<- mWft in 
[tltuNtl u|>»n tJK- lc|! jiiol itlMivc ttii' ninlltHiIi nnd lixeil l>y 
two riri'nliir tiirni* iinniiid (lii> h\[; thvlmoAage is tb«-fi 
4iirri<-d «liii<(ii<-ly iii-niK< ilic doninni of lh«> foot (o ibv 
ittHiit)irsii-t>lialaii|r(^il Krtiini)Nlion,at wliioli point « circular 



KB>.m. 




or *]0I eonriat Ibo hMl. 

tiini IM iiuule; Iwn nr tiiTw eitimi or Kjiiral n-vt'm^t tiinut 
ftn- lln-n niadiMt>MvniIin); tlic (iniI ; the roller U next t-nrriitl 
tlini-lly ov'iT l)if [Htiiil of llii- liit-l iind <1|tlli^nl^l iMu-k iit 
till* ilorvinii of till- f>H>l ; llii'U»- L ii'tilti ilii' iii-li-p iiniiitid 
onv mdtt of ihe Imi-I und ii|i owr tlif in»l<-|> ; from lliiii 





BAKDAOI or FOOT SOT COVKRINO HKBL. fil 



^^boinl it u) i-nrrKtl Ix'iiivlh llic iiiHlrii umiiti<l tlicntlifr hkIc 
^Ktrtln- liii-l nixl ii|i in Inint nf (In- niikli-, from wliirli |Kiiiil 
^Bt tiiuv Im- (^ hi I ill lilt I iiji iIk' Ic^. (Viti. (!!)■) 
^B UsK. — Thi;* liiiiiditi^- it (luployfd to iitver in iJte ftwt 
^KJti) rt'tJiiii iln-K><iii^ 111 llic fiHit iiii(] IutI. 

^TIaxi)aiik(H'' VtHtT N<rr CovERiNr. TiiK Hkki,(Khkm'ii). 
liiilln- Tuo and a Ilal/ Iiu-lteK m TfiiAA, Snr^t Vanla 

Ari'LHiATinx. — Fix tin- itiitiiil cxtniiiity of llic mllt-r 
j|i>>it III)' Uy jimr tilMivr till- iiiiilli->>li iiiul Mviirr it by two 
(lin'iiUr Uirn.i anMiml itir U'g ; tin- ItitiiiJago in tliiii i-arriiHl 

flH, ?tt 




li1ii|iM-1v ii«-nwM (Ih' •liirMttn «>r tlit* font l» the iiiHjitnnv^- 

j^linliitiiritil nrltiiilaliiiti iim) iii tliiit jHiint a nn-uUiT turn 

kmiiiiil till- tiMti in iiuiilo. T)i<' mllcr i<> now nirri(<«l up tin* 

Sntl, ■■oviTing it in w ii)i two or ilim- siiinil n-vtrwil Iiirim, 

itl at ihia (loiiil a tipin--i<r-('ti:lt| lurti !■• nuui'' iinmiiil l)i*- 

ikk Miiil iiifti-]! ; l)ii- ^)i"iil>l 1h- n-|MYiliH| omv, <vltii-)i will 

VvT in ll>r fiHiL with tlii' i'Xii<)>lii<n n( llir lin-l ; tlif liail- 

' iiuir Ihiit !>• <'»ntiniMil »\> llic li-^ nillt M|>inil n-vt-niMl 

jnw, \V\g. 70.) 



SS REGIONAL BANPA0K8. 

UsK,— Tliis Imniln^^ iimy Iw <>nipIoycd to M'Citre drrwK 
iniiB to llic foul uitil i" iIh- oiiv )n-in'mlly iisitl li> tuiwr tlw 
limt ill ti[i)>lviiig tliu t>])intl n-vvrw«l luui<Iiigv iil' lliv luuvr 
ixlrctiiity. 



Si-tUAi. RBVRJWf:r> Baxdaoe op tiik I^wrr 

KXTRKMITV. 

'Solln- Tm and a Hnl/ hit^ta in Wnith, Semt Yartk\ 
in Jjenffth. 

Appi.irATiox, — 'PIm' initial rxtmiiity of tlie roller i* 
]iliii'>i) ii|iuli (Ik- Ii'^ jiift iiImivc IIh- niiillciili iiikI M>i-iii>tl l>y 
two riniiliir turn", llicn rairicil olilitjiu'ly over the luiri Ui 
till' nx-tuturiMi-iiluiIiiiipul nrli^-ulation niui lic-rc b cimiltir 
liini !k tiiudr HriMinil (lie 1!h>I ; the fiHit irt next mveiiit iu 
willi twn iir ilin-i' -■'[firni n-viTsi'«l turns aiitl twn fi;[tin^ir- 
eiriit tiirun of t\w imkli- iuitl iiiH(e|k, ami jil>i nlHivc llu- 
iuikI«- one <>r Iwo rirfiiliir or H|iinil ttini-i mi- iiuulc nnmtul 
ttH< l<^, mill Oh tlu- Imiidnut^ i» rarmtl ii|i |Iil> liv, nx it 
incniiMnt in (liMiK-tvr, m\»nu iv\'(>n4iil liinii> iinr nimh- until 



IViH 




!l(il>«l mcnuil baoiUer of tbe lower uLlcmllT- 

it upimnu-licM llir knit- ; at tliipi iH)iii(, if tlir lituli b to be 
kr'|(< Hlmi)(lil, lilt- n|iiral n'vorwJ ttirtw nuiy l>e (t>utitiucd 
uvt-r Uiin nyiiii) uih) ii[> ii|Hin tli<- tintib. If tin- kiiev it 
U> Im) Iwnt, li)riirr-or-*'iLi)il turns uuy Ih.- nt>[kliMl until ifae 
Iciiiw is iiA'i'ml, iiwl tJtri) llic tlii^li niny nc wveml witli 
ii|>iral n'\-i>rBo<l turiiH. (Fig. 71.) To cover in tlie tliigli 





laCRi-or-BionT bandaqk op tbe lko. 83 



ua well an tJic 1<.^, two liBndagra of th« diiiH'iiMoiis before 
givtil will he ntjiiirtil. Cart- r-liuuld be taken tn kct'p llie 
n'vrnura in a line nml D<>t to nuikc tbeiti over llie )>{)iiie of 
till- liliiii. uf> tliey uiuy t)iii» beciuiUT |i:iinfiil to lliv ixitieiil. 
I'xy. — Tlti»i ic (file ol' tbe miwt rrti|iieiitly eiH|>Iuye<l oP 
ibi' Mller )uLii<lu)£i«; il is used t" apply pn'^^ in- to tlio 
bmvr t'xln-inity, to retaiu drcsdiiiKH, and to acy-an- Hpliiit« 
in tbe tntilineiit tif rracliircH iiihI (ItslfMntiniiH. 



Fl(Iir«K-«»K-K»tllT IJ.WDAdK <ty TIIK I^Bft. 

Jioiter Two mtda Say /iwAot ir» WUIlh, Stem y<tnis 
tn Length, 

AlTl.n'ATKix.— TbLi l»aiuk(r<- ililKrs fmm tbe i^))iral 
r«V(>rHr«l Ituwliiict.- of (lie lower exlix-iiiily only in the Iml 

TnTt 




nfof*«f'<iciii ibimIu* or tbe kc 



thai wltm tile oweJI of tJte nilf h nw^iiil, liKi>ri'-»f-<-i(;)tl 
tttrtifl are tn«de around tJtr hy: iitttt<-iiil of riiiinil rr'verxil 
turnip lo applying tin- roller, wben Ibe <iilt of (be U^ m 





84 



ipaOIAL BANDAQEfl. 



tvafrhod, tli« luindage in ramod ndlkjiiflv nnitiiid lli*" \v^ 
aiw! Imm^ilit in front nl' the Icy and Riade l<i (-rtnw titc 
Hlartinit'tnrn in tlip mctlian lin« ; ttiriM' turn»i nrc rejHvilcd 
until tlip calf of th<> kg htiB lM;en mvortnl in, and iIk- Imn- 
<lafi;<> U liniHlit>d with nue ur twn rimilar tiiniit jiLtt Itclow 
Ilio kn<H>. (Fijt. 72.) 

T'hk. — This liandai^c Imlds its [da<i' nmrp finnlv than 
the onlinarv sjiirnl iwi'i's<tl l>alldl^^' nf the Icjt. «"<' inny 
Ih- pm|ilitynl in llic trtatnienl of nliirix nf tlie It-g in wn- 
jnnrltnn with Htrapiiintc, ulicrc it in dt«iRil>lc to dianei' 
llio dm«iingii ut iiitii-<|ncnt inttTVaU aud Ut :ill»w llir 
|iiiti<-nt to w^ilk ahoiit during tlie nmise of Irentnutit. 



SPECIAI, BANDArtES. 

SptllAI. RkVBHRKD ItAXttADK OF THK PkNIS. 

Jinllrr T/nfr-t/mi'lmi o/an JncA in WtiUh, Thirtt/ ImAtm 
ill I^atgth, 

pM.n. 




■flnil wvMWd hM4*ca M Uw pMttL 



hU 




RKCL-RKKNT BAKDAOB OF STOMP. 



65 



'UCATION. — Fix llie initial extrtmity of iho rolltr 

tiv Iw" i-imiUr Iiiriii- umtinil the jwiiii* clowe ti> tlic jiiit>i< ; 

llii'ii iiitTV tlic Uiiuliii^ iihlii|ii<'lv (loU'D to the ciiriiim 

glniKli^; Ironi lliie point ai^'ml the IxhIv of llic itriiir; l>y 

jiinil n-vcrM^^I Uiron to tlie piilm nml liiii^ii titc lutmlatrc 

two li|riirivof-«i);lit tiims aroimtl tlie n«ck of thv scrotum 

mil na)t of thv p^nis ; Hplit (llo viul uf the iKithla^t' ho an 

t' form two taiU uihI i«i-iiiv it by tying then- uroiinil tlio 

Kit u( tlK pam, (Fi^. 7^.) 



RtXl'ltltKST ItANI>A(IK OP STUMI*. 

StJla- Two and a Half Inehn in Width, Fitx to Seam 
Yard* in Ln\f/th, 

AprurATioM, — Vhicv tlie iiiiliul cjitmiiity of the roller 
l|ii»n till- luiti-noriir imfliTioi- mirfii'i-jof tli<- limit ii f<-w 
iiii'li<w ultovv llic cAtivtitily of 11h- ntiiuip, and ixxrry tliv 



no. *i. 




Korwnrnt laadtftof tfunp. 

iinilnfcr In llii< ntcl of lliv i4nni|>, iiixl iJtrn cniHlnrt it 
ifiwnm <»r ilnwnwunl on the limli, bi« tin- rtt)*> iiuiy tw, M a 
jMitiil ilint-tly o|i{*>>«iu- iltc iNiinI of Mnriing; tlicn lirlnf; 

IV 




84 



SPBOIAL BAyPAOIB. 



iwM'liccl, the 1hui«]ii|^ w tttrr'u-d iihli(|iti'lv imitind Uh> K-p 
niid l))->iii^lit ill rmrit of lli<^ Icf; iiiiil >ii:iilt' to mwn ilir 
start! ti^-t urn in tlic iiiitliiiti lino; tin-*' liini" im- n-jM-alMl 
until the «ilf of iIh> Ivg liiu Ux-n rovrnHl in, and tin- Iwn- 
dajfi' U Hnislxfl willi oiu' nr two dniiiliir tiirtbi jiiMt In-I»u 
tin- l(ii4i-. {V\g. 72.) 

Thk. — Ttiiit liii)i<)itp' IiiiIiIh ilM (iliiit' mnn- finnir than 
till' ontiiuirv Mfiirtil ri'Vi'ixil luni<litp- ■<!' tli<- U%, iiikI iiiav 
i>e rniiiloyct^ in tln' tn-nlnii-nl of ni<'<'ix of tlic i>-^ in (Mtn- 
iniicttoii will) Htni|>|iiii);, wlior*' it iit ihvinililo tt> chanpr 
till' <lnMiinpt lit. iiifits|uciit iiiliTviilH ami to iillnw Ihr 
|Kili<-i)t |4> wiilk nlHtiit tinring llir ntiirMr of inntnu-nl. 



SPECfAL BANDAGES. 
Sl-IRAI. ItRVEiWKII BaM»AUR OP TIIR PkNIH. 

Ralki- 7Tiirt-</iuirUrt of an /noH i'm Width, T^iXy fncha 
III Len^h. 

FM.m 




liftrti ninfMil UmiImm*! Um ivnla. 




RKCURBKNT BANI>AOIC OF STUMP. 



8A 



« 



.K'ATION. — Fix tiM' inituil cxtrtniJlv nf tin- n.lW 
V two rintiUr tuniH iinnind cUr jh'iiik cIoM' Id 1)m' piiiiH ; 
lii'ti nirry tlu^ luitulii^)- nbtiiini'lv ilowii to tlii' iiiriHiii 
i;liiiiiltx : Iriitii tliiia [Kiinl nm^-iit) tiK' ImmIv of llic jm-iiih Iiv 
■irul rt'Vi'iMii) liiriiB to tin- |i«il>i.'< mid liiiiiJi tli<- IulikIh)^- 
ly twii flgimMiOiglil turn* tiroiiml tin* ii«-k of iIh* M-nMiini 
It) hhii iif tUi' iH-iiU ; Njilit Ui<> vn<\ lit' tli<- iKimltip' .-wi as 
to (iinii two tail--, ntul ixvim- it Iiy lying llifs«- uroiiiHl tlit- 
>t iif tlic |>«aiiii. (Fitj. 73.) 



ItBCUKRENT BanOAOK OP J^TCMr. 

Roller Tko imd a Half Jnchai in WidlH, Fiv^ to Snm 
Yards in Lnu/lh, 

AlTiJi'ATiox. — I'lttw the iDitiul tfxtmiiilv itf tho ml W 
I|H>ti tin- ant^-riur or jMiwltrior siirfinvjnt' tfit- limli a ti-w 
oJitus aUtvc- Iht.- L-xtivuiily of lite .-ttiimi*, and mvry the 

no. 7*. 




tltcunvai teiidait <it (Mm^ 



>»dat(f to tlio end of tite stiini)), hihI then i»mhi<-t it 
ijininl or ilownwarcl oo l)ic limb, u.'^ Ilic <il«> niity In*, Io a 
IMiint ilinvtiy >iji|)i>!iiu- th<! (toinl of lilnrtin);; llicti bring 

6 




86 



SPBCIAI, BANDAGRfl. 



thv iHtiitlu^c Inu-k ovt-r tlip liicc »f tlic (^ltitn|» I'l llic (xatil 
iif Ktartiii^ ihhI I'liiilinno Ilicw n'<iim'iit (iini>'. fiwli liini 
<>vi'rlii|>|>iii^ (wo-tliinl« of iIh- )iivviiiiiJ> <nii', iiiilil llir i'mv 
of tin- Btiiiiii» i" it>vci>tl; iImii rt-viTM' llir Immlup- ukI 
i«c<nnv the ixi-iirrfiir Itiriic ill llii-ir ]Hiiiiti> nl' iiri):iii l>_v Iwii 
or tliTw I'iriHiliir turns. Tin- i^iIIitkIkhiUI in-xi l>r i-artifd 
i>ii]ii|iii>lv (liMMi t<> liii' <'iiil i>r IIk' i>Iui)1|) Ntiil II rtiviiUr 
liirii ■liouM Ih' iniirli' iiiMiiiii) lliiK, iukI tli<* tiiiiiitii)^- ii||i>iilil 
iii-\t In- I'Jiri'ii'il ii|i llii' liii)li hv H|iiriil or Hjiinil n-vrrwd 
turn:- iK'uuni ilii- rM.iiit iil wliirli tin' nH-iirn-nt Uini--' li-nni- 
iiuIihI, iiikI i^i-iiitHl Ity iiiKMir tMii cinr-iilnr Hiring ('''>fl' <4.) 
In iipplyiii); lliii' lumdiip- in vm' Kliorr i>Utm|ii' rcHullii^ 
rroiii ninpiiliilioii.t at or ni-ur (he nlionUlor or liiii-joinls, 
nncr muffing tin- ni'^invnl mid i4j)int) liirn^, it will br 
round iKi'iTWiiry to i^irry ttu- ImtKlittri-, in tlie t-n^- of |Ih> 
sIiotildiT, acnitw till- i-lii'nl to till- oi>[KRiiti> n.vilia ami Imi-k, 
mill "|i|)ly M'Vt'nil of tlii-M! tiiriin; mi in iu^m' of tin- lilp 
nmpiitiitionA il will Ik- RhiikI ImviI to lini«))i tltp lHUiiliif(v 
witli It fi-M' tiiniHnliiinl the iH'ivio. 

Bamiaok pok Sbcurixo tub IIanm ani» Frbt is 
TlIB LlTIIOTOUV Pi«ITIOX. 



JtoUer IVw am! n JTnlf /iu-Am ih WiM, Three Yanla m 

Lenfflh, 

Ari'l-lCATloN.— The Imnd of lIii- [HitiMit uliould U- 
liDMiiilil down mid ninilc to t^ttii-]) llic niitcr s^idr of iho 
tiHit; llic inittii) rxtifniity nf the rollrr in flxiil liy twu 
Hrc-iihir Innn around tlir xvriNt iiml nnklr, ami iIh' liiui<la>pn 
>■ llii'ii imiwd iiroiiiiil IIk' fiHii mitl liiiiid, iiitd tlicw- itiniH 
iiri' iiltcriminl wiili tnni^ Hroiiwl (lie wi'i^r and iinklf, iinlil 
lilt' tiiiiul mid liiot iiri- liniily Mi-nnil. Tlic miiih- |in><viUm' 
IM luloiitdl Willi (lio Imixi mul tniit of tlip ii]))Ni»iilr nidr. 

t-'sK. — TtiiM lMiiHla|{i> il) tiwfiil ill Hmirin); tho iinmln iiml 
fi>cl U'litlc till- |Kiiii'Ht ts iMii ill lilt- litlioloiny [MMittoti litr 
kliBl o|N-ruli<<ii, ttr lor [HniHiil wvlioii. 



88 



SPECIAL BANDAOIB. 



to the extremities of wlii<'h are sewed tapes. It may be 
apjilied tniiis\'ersel y so as to cover both eyes, or obliquely 
HO as to o()ver oiie eye oiily, and is secured by the tapes 
carried around t)ie liiiid and t'lL-d over the forehrad. 
(Fig. 7li.) 

IIhk. — This liiuidagc is nw-d to hold oompresscs or dress- 
ings to tlic eye i>r eyes, aud the olasticity of the flaiiDpl 
[MTuiits of ilii Ix'tng a|i{)lic<l so as to make a variable 
aiooiint of pressure. 



]iA.NI)A(H': <iF S<TLTETU8. 
Ftfl. TJ, 




ltiiii>Iiii;v iiS !4('U]U.-Illi>. 



'^hi^ ]< ii c<iiiijHiniiil li!iiul;i;fc, (NiU'iisliuf; ul' a ihuhIht of 
piiii-s of niu4in, and nmv Ih' pri'jiarcd from :t two and a 




rtiANKBL BANDAOK. 



80 



liair ur tlint^iitrli mllvr by ciKlitii; 4>fr ttriiw tnnf; enough 
to i'ii)-m-l<- (III- |iiirt iiUtiil our iiihI mii'-tliiril liiiii.?'. 'I'Ih't^} 
Mtrifw nn- iilttiivl iitiilrr llii- |icii't in h'uch :i iii.'iniii-i' t)i:i1 tin- 
fir«t iiiiiv ■liitll III' iiv(-rl:i|i{H-il iiv llit' ^itiiiiil, tliv k.iiiikI hv 
Oil' mini, iukI wi oh Initii Im-Iuw ti)iwiml; tlic piiitv lire 
Hum brriu^it uitjiiikI tliu Iiinl>, iiik) I)i<- I'xtri-iiiitifi' of tliv 



iiMt ]iM->i' Eiix' Msnin-il Iiv iiiiiii, (KifJ. "'■) Thix liiimlap- 
ill" InniHTiy piiii"li fiii|iliiv(il ill thr tK-»tiiu-iil of <miii- 



^^■NMili'l tnirltipM to Mi-tiri- ilri-vili^s to till.' woliiiil. iiikI 
^B)>i>M-vt'<l (Ik- ii(lMiii(ii;.a' lluit wlicii n Niii;;k- olrip )H'<itiiiv 
^^piiliil it tiiulil In- rt>iiiov4-<l witlioiii iltftnrliiti): (Ik- wlioiu 
^'Sn-winjr. ihi- mw wtrip U> Ik- lulnKliuvtl iH-iiit; |iiiinwl tn 
tlir mln-iiiily of lh<> xollcc) [liii-r t» Ik- n.^iiinvi'd, niul iIh-ii 
^M-in^ flntwn liimiiKli l»y itc n-mnviil. Tlii" Uuiilut;!' will 
[»rti-ii !■■ (oiiwl iiiitvi-iiii-iit ill iip|ily!ii)! ilri'wiiipt 1o i-ilivk 
>r i'\<-ixiiii) iif tin- joinW, wIh-ix- an litlK- diMiirUimv iil' 
lie jHirtfr 11^ |M»^-i)ilf is imjMiniiiit ia iln^i^iti}; l]iu wounds. 
Vlii-n l)ii> !<tri[iH iin- iittwlii^v) to invli otlu-r bv « ihrriid 
n) thntiiiih KU-)i -^triii in tlic centra, llu- Inii'tiifto )»< 
fn itH pott't lifwiliiiff. "VWm liiiiiilup! bi n|iplif<l mid 
onirvil in (iic kiiiu- iiiiiiiiii-r. but it |Hi»~('X'it> no uilvantim;n 
till- lKiiidu)j;if oi Sc'iiltvlUft. 



Kl-ANNKI. HaMiAOK. 

llitMi liim<lu|!<M iin> im«[Kin<d t'nitii lliuiiii'I wliirli in (tut 

ill! -trijH from iwo to tirtir im-Iii-t' in widlli itnil fn>m llvf to 

rvi-ii yunts in linirllt. Tlti^- strifw itn- foniitil into mllcn 

itbiT by lumd or by itii'Mns of tin- baiiiLi;:^ uiiuli-r. 

1III-I iMUKKjfi-s by ntL-Hiii of tliv i-liint ii-itv wbidi Uii^y 

w txit Im- iipidi'il without nn'i'RX-H iiih) iirf iii»il id 

W u iiioib-tult' iimiiiinl of i-litMj!i- jimvtiin'. Th<-v iirf 

111 iitipbiviil ill ii|i|>lviii|; <lnN<in^ to (hi* Intnl. imm- 

tllv nDiT o|ii-mlii>ii.-< iiii')ii th(- i-yi-s, mid un- p'lii-nilly 

i>|ili>4l IL1 It |trininry ri>l)<-r U'tiin- Itn- n|i|ilti'nliiin of the 

|iw4i*r'of<l*uriii iln^«iinjpi, mid niiiy iiImi Ik' itM-d in Mib> 

ll-iitr joint iittivtioiiN, Urfb lo |ir>il<i-t the imrlH mid iiuilci- 

miHli'mli- niiioiinl of i-lEMir |)n>f>iin-. 



SPECIAL HAKDAOXS. 



Tlie lil-HUElt lU.SDAUK. 

Tliii" tuiDiIiLfiL* i" fiitulf fniiii II ftri|> I'f niliU-r «ln'H!iip, 
fViitii iirK- iiii'li III liiiir irK'lit^^ in wiiUH null fmiii lUrw In 
llv** ytinih ill li'ii^lli. >vliii-]i, for iioiivciiifiiw of niiiiliciitioii, 
ii» rollit) into u cyliiKk'r. 

ItH tM' WII.1 intiiMliiiTicI (o iIk- iirofcwKHi by Or. Mnrliiif 
of Itiii>t4>ii. 1111(1 )1 will Ik' IoiiikI h U'vM funn of iln-wiiif; 
wln-n' il i- <i)n"i«lcr»-<I iK-^inthk' n> »l>|ilj' i-liwlif |mw>nrc In 
.1 |>iiil. (Kit:. 7H.) 

Il inny U' ('iu|>liiy<il in the tmitnicnt of vnriniiw vclitt 
of till' It^, Id i-limiiii- nkitv oftlioBv |iiirti< wlH-n' |tnwMiTV 

Kw. T>«. 




Hwttii't nititnr teiiiliw*. 

in an imiHirliint •.■It-nirnt in tlu- Iniitinciil, uimI iimiv \iv hm^I 
ILK tx •iiififiidit*- for r'lnippiiit: to N'<-iin- lliif olijii-t. Its 
ii|i|ili<7ilion lin)* iilu> Ih'4-ii ni-onini<.'n<lM( in tlicirciitnutil til' 
Mwi-IKil ivMtick- in lluit ••la\n- of iIk- nlfti'liuii ill whii'h 
])nvMirr if iiiiliiiKd), 

Api>i.t(-ATin;(. — Fnriiiiiilioition to iht- ki;» niblnT Ihui- 
lUi^- two itiiil » Ititir iiKiKW ill wi<ll)i iiiid lliixi- yiinbt in 
Ii'iikIIi i" roiiiin^l, 
KTlir initial <-\lr<-niiiy of tin- nilirr ix lixiil iijtoii thv foot 

ir till- 1'"'" ami «viinil l>y a i-in-tilur turn; llio fool i» 
tln-n iiivcn^i in (ly "iiinil loni" ovcriiippinK iiwli oihvr 
nlnnit lw<>-ltiinb>, iiiitl ii fi^iiriMif-ri^ht turn in nimli- from 
tilt' nnkli- to ilir inp>t(ii, ainl tin- iMiiiliif^- ix tlicii i-nrriit) up 
lli4' liinl) to till' kiKi' Willi <i|itnit liirii>, wlii-n- it in -Hitm-il 
liy two tji|H-» ni-wiil l<i ttH> Icriuiiuil i-.\livtiiily of llo' l<uu- 




UARl>EN[.va BANDAOKS. 



Bl 



i: 



; whkti iLn< jiaNX'c) iirniiiul (lit- \vp iitxl liii). The 
ihIhi;!' nf-<\ mrt In- n-vcr^il, an it" (-Wiiritv iillowp it Hi 
iitnrm I"! till- -Ii!i|K' 111' tin- liriili. ("iin: «hi>ill<l U- litkcii 
tiiil til ni'l'ly till' tiirii)' \«i(li ((^Hi inii'-li tiriiiii(-N<; tli<! 
iiilnK*' -litMitd Ih- t>tn'li^li(il wn- plijrlillv ; if iIiih ))niTiii- 
iiMi in not Uiki'ti, il MNiti Imtoiik^ iincwtmt'ortnldi; lu tho 
ifDI. A |Hltit-flt (Initl^ OIM- of lilfHi' titlDitlip-n will MHitl 
rn l» niiplv it liiiiwh', innkiiif: jiinl i\u- ntfiiittitc :iiitiiiii)t 
<r ti'ii.^i'iii ((■ •ufiirt' iti> Ixililiii^ itn )>lii'i' iiikI to iiiniiix- ii 
iiuloriitlili' niiiouiil of |iii'Si>iin' ii|iiiti tin- ptii'l. A ncll- 
tliii^ Hlia-kiriu iiiny Ik- |>IiW'|'<I <i]hiii lln- liiiili lii'fi>ri- tlit^ 
nilii>:i' i« a\i\>Uv»i, 4ir it muy U' uiiiiliitl ilirctily In tiw 
kin. 

Tli'> ImiiwIh^' kIiiiiiIiI Im- ninovitl nt iii>;lit wlxni the 

iMlii'iit p<f^ to Im-<I iinil ItiiiiK ii]i til <lry, n." it» iiitH-r -iiir- 

(i- l«-n.ir»> inoifl fnini (he p"sTi-ti(>ii!« fn>iii iIh- nkiii; it 

kitul<) \w n.i([t)>litil an ttum m tW jniliiiit ri-«^';> in lliv 

iiinniin^. 

In HMiiff il ill th<- iTrnttiii'ntnf tiWiviit'lliv h^r m> oitit- 
icntc ahoiild Iw n|i[itic(l In tin- illi-iT, iw oily ■Inwtinp' nhiii 
tn>y liir niMxT ; tlnwiiijp' miiy Ik- inmir to tin- iilivr hv 
itmiB III' tlry iHiwilcru, mii-Ii iin nxiilr of xini-, iiHlnriinn, <ir 
\<iA, U'fiin' tin' lietmlnp- i* ti|i)iliiil. 
In llti- in-aUiK-nt of auvlt<'<l ii^tirli- liir Immliif?- ID n[K 
Vwi to tJir tf'-tif'K' l»y niuinx nf tr<-iirn'nt 1nm» imt imt 
nnly nuulc, itni) MTimtl in ))1itir l»y njiinil iiimH, mtlil 
II' tvliiilc MiHtltv' of llti- orifiin in tiivi-riil in; tlin vml of 
fill' Uiml.-i;^' i* MViintl willi tu\M" tiiil nroiiitil lli<- r<»l <if 
llii> ■uTiiinin. TIti' Himic |ini7nilt<iii (<■ <t|>{>ly tin- laimliiKt' 
Of (>> iiuik<- imly miMlcnilt' prtwnrc i<li(Hit(l iwrv nlwi be 
k-nl. 



nz9d Dreeeloira or Hard en Ins BaodaRee- 

Kor llif n|i|ilimt)<>ii of llit'^i- (Int-iiiijr-f ii varivtv of -tuli- 

liK^'it nrr iiwil w)ii<-|i iirc in'tirjMiRitiil in tin- in<-'ili(i4 of 

umi- liiUrit', fiii-li as crinoliiii' or i-Iki-mm-IoiIi, i>r jiiiiiilcd 

ttViT ib> Hiirfm-f to |;ivf lixily or luilidilv lo lliv Initilu^-. 

Till' mill) 'mix iiKw^l mniiitonly iihoI in llii- [>n-)ieiniliiin 



»2 



SPBOIAt. BAKDAOBS. 



»l' (ix(il <)n->uuiip« II 

MHliiiiii or |H)(tkr>9<itiiii, imraftim*, or 

fpiiii iir <if' oxi^li.- of xiiic lint) gliiv. 



liutcrHif-l'u'w, Hlan-ti, nIii-mU- itf 



a iiiixtiir of trlialk ami 



TiiK Pi,a9tbh-ok-Parw Rasuaok. 



I 



Tilt' jiliinl)'rH)f-I'!iric iiw-d ftir tin- n[t|i]i<uli<ii) of Hunrli 
(Irctwinjr* liliouKi Ik' of tin- fOiiw- •|iiatity a- ilmt »lii<'li tin- 
tlciitiil Miir>niiuM i'ni|>l<iv ill takiii;; iilhIh fur Ui'tli — lliiit i%, 
till' cxli-u-ciilniici! variety. If iiioiflt <ir of inti'rtor <)iiulilv, 
it will not set rapidly or Hniily, iiiid will tiiit to pvv miw- 
citiit tisatioit to tlio (IrcM^ii));. 

The nlawtcr-ol- Paris dnfwinjf may lie iipiili^-d in M>\i-nil 
wnVH, either by covf-riii); tlio jiiiri lo Ih- eiiclo-iHl with mmw 
Io«mp fabric, and nilibiii); the nniicl jilafter into it, iillii^ 
luitiu); ibe biy<Tn i>J' tlie tabric with layeiv of moist ))la.->l4T, 
or it tiiav In' a|>)ilii-() by lueaiiH of a rt>llcr wliiih lias Ui^i 
prcjuntl vtilh plaHt4>r-of-]>ariH uihI is nioiMciiPil and n|»- 
plieil to the juirt. 

To a)>|>ly a |>lib<l^ri>f-I^irin tlrtw^liiff aminlitifr to tW 
fircl iih-iIiihI, ibe |mrt to lie em-losail — till- b%r, f>>r tiistnmr 
— sboiilil til*-! Ih> ii>ven'<l by ii lu-ally iimiliol (biiiDel Ikui- 
(lap- or a iiiiHlin l>aii()a{;t', wbi<-li bus Imi-ii Hbriinkeii liy 
iH'injE wikstieii ; new iiiiiaIIii i» not sntit^fiu-tory as n prinmry 
a|i|ili(iilioii Iji a limb in apiilyiiiif a ])ta.-it4-r-of'l'iirLs iInMi»- 
iiifC, as ihi' nioUltin- fnun llie plaHler wetn it ami (niL-M-. it 
lo nbriiik, so (bat it iiuiy exert iiijuriotts jin^Hun- »\\-r Uie 
biiiiiiip' U'liitixM Arv. 

Tile tiiiil) liiivintt open <»v«Twl l>y tlie Uiixlaip-, nn<) any 
lionv |iron)iiiei)(ii-s Mieli ai^ tho malleoli liavintc l><?<'n )uul<lc(l 
witb small H'lwlh of i-olinn to jireveni iiiuliie {inwiiin- ii|Htii 
tht-ni. llie ]iiirt is next <-oven-<l by a layer of liirn(> of a 
■■riiioliiie lKiit<lap> or by sirijis of elmi^-i-lotb or anv oIIht 
UniK- inalerinl. A small ijtiuntiiy of ()last<T-ol-I'arift i*i 
nt'Xt iiiixiil wiib water until it liai^ tbc <ionj*i(*tfiii»' of Ibiek 
cnilMi, wlieii it ifi simfliretl evenly ov<t tin- wlnilr siirliur 
»t ibo (m-vioiisly »|i|il!>il Imixlaifc. Anotlier laytr of liio 
ImumUki- or of Ktriiif is next a)i|ilie<), and llie itlniJlrr lit 
Mtuvm) ovi-r lliin III llie Hunie aiuniter, anil wi nllaTiuiIc 



UIV 



PLASTBB-Or-PARIS BAMI>AOE. 93 

Uvfn of ulasiriMtf-IVns und buiidagi* arc aimlic<] until a 
■iiin}{ iif lm-<lot)ire«l thi<'kn»v it- olitiiim'^l. It tbo {ilni^liT- 

-Parln of the quality |»n'viiHisIy ilci^-rilwd Itc il'm^I, it 
will Ht.-I itr Itnvinif liani in a few niiiintos. 

Tlif lititMl ciiiivetiit'iit iik'IIiimI iil'nmilviD^; the |)liUit(Tr-or- 
I'aris ilrf*in); is that employwl bv Omt. .Sayn>, wliiWi t-oti- 
lit^t^ ill the into of boiHla^rrs winch have liwii prcviwujily 

i-|Ktrtil with plaHtfrHil'-l'aris ; thc^- ape nioixIcntHl aiwl 
%t>|*')*^' while moist U> the purl tu he encnsei]. 

^ItKI'AKATtON or THE Pl.AffTEn-OF-I'AHlK BaN1>A4IE. 

TImwi- |inn<lat;i^ art- |>n-|mn<(l liy lukiii;; dtmw-t'loth, 
iiK«|tiit<>-»(-ttin)t. or criDolino. whii-h latter is by I'ar iJic 
»t liihric, and eiittiiiK or tmrirtt; it intn dtriM (wo aii<) » 
tir tn tliru- iiii-lio ill wiilth niitl five yaruK in l<'i))fth. 
lii^ic an- laid on a talili-, ami |>lfL-ti:T-..f- Paris o( the 
<|iiMli(v liefore- iiieiitioiu'*! is dut^lt-d i>vit llu'iii and nililMii 
^^uiii till- nHwht"i iif the fabi-if; ihc iiuiicrial wlii-n iiii|>n);- 
^bkUiI with jdaster iB hwHely ndlMl iatn a evlindor, and 
^Hfaivf luiiidaip^v when |)rr)Min>d sIkhiM Im- plaora in ntr-4i);hl 
^Hirw or tin cans iinlil n^iinirrd. 

^H Itaiiila^tv ihnn |>n-|im-f<|, whii-h liavt- been e\|M>Mtt In 
^Kk' air or have Ixtn krpt liir a Ixug liaio, are not a|il In 
M't well when a|i|iliiil: hut if liiirh li:in<la}r<''< arc |i)itii-d in 
a liirf DVrii and \ia\ivfl for half an bonr iM'lon- Um^ iikhI, 
tlicy will ln' fonnd lo net a? sitiiifacliiriiy as tltosi' iViJily 
(in-imnii. 

Tin-*.' UinilaK^-H may I>e (tn'juired by » iiiai-hilie miMle fop 

Ijbi,-^ |Mir|K<si-, hot I d<i not think that iIm'v art' a|il to hnv'i- 
tu- |ilai>ti-r iLN i'V('iil\ dihtrilinliil lhn>ii[:h tlx-in, nail lli<-rc- 
t>n an not a*) satirtJiK-torv, as th«H' |m'|Kinxl bv hand. 



II'PUCATI'IN op TIIK Pl.A«TKtI-«H'-i*Am}* IlANt>AnK. 



Rt*ron> a|i|<lyinK tht» dnvwiiifr, ttn- |mrt Ut la* citi-nsatl — 
the hu, for in-lami- — nboiild In- mvrred by it thiinu'l nilhr, 
V Iwiay iminiiiHWei- L-iii;; |in>l<f|ii| by |Miil!t of mllon, 
a chMMy tittiii^ Atta-kiiig may In- a(t|ilied In tliL- juurl. 

5' ' 




94 



SPBCIAL BAKDA0K8. 



Tliv IkiikIii^- '<tii>iil<l Ix' (liiiiNil ill vtnrm wal<-r mi<) kt-gn 
t'DVi-ntI by wtiU'i' >i)rii IVvr iiiimu-tiU; il nuiv \w m^^l^•^•m\ 
witli the Itiiwl, iiikI ilhmioii ii^ )>til>t>k>i()riiir<<cuw>1uiwiiji)' 
it id » Mfpi ihftt it IK tlii>nMt|;lil>- wmkiil nnd in ntuiy wt 
a|ii>lic«liiiii. 

On rvmnviiiK it fn>ni Uk- water tlw- vxvmw of wairr 
rihoiiU) Ik- «iiiwm-() •iiii liy the hiiiid ii>t*l tli<- iMmtnf^r 
rihoiiM tlicii U'WciilviigiiiliiHl t>> iIk' liiiili uilli jiiMt fiioug^i 
(iniiiitiw 111 riiiiki- it fil tin- jwrl nii'flv.aiMl m- li-w r«-vvpH-» 
ii« ]>UBr<ibh- «li<>itl(i ill- iiiimIi-. A niiflii-it-iil miiiilH'r nf Inii- 
(ll^ra* lire ii|i|i)ic(l tu niukL* u dn'xniiifr im lirni lut may In- 
miiiirtil ; tlinv rDllorc (»f tlic lUxtv.- (liiutiKiioiiH aw luimlly 
i|iiit<' uni|(li' fur It (In'wini; tin- ilic l<>^', un<t ulicn tin- la^t 
tt»lli-i- liitH Ih-[<ii ii{)jiliitl FuiiiK' ilrv |tla"t<-r nlionlit \h' iiioIkI' ^ 
t*iti5l wi()i u;iti-i' iirilil it liiu< ttif (iiiiKioU-iKi- iil' lliii-k cnvRi, V 
iiikI il hIioiiIiI lit- nit>lM-<i evenly iivi-r tin- ("urfmr dC the 
Immliip' In pvv it ti linisli (Fi(r. 711). IT n p}fn\ ((iinlity ^ 



4 



Flo. » 




Ub cDVMd tn i<mw pii-«m a>t ii c . 

of |ilii»liT li!L«i lin-n iwil. till- liiimlnm" KhunM In- iiniu* flrni 
ill fnini ten tn lit\<i-h llltllnl<■^, Iki{ tin- juiliciil .tliimlil not 
for a few lionra Ik- iilloncil to ]mt any wi)flit ii|K)r i1m> 
ImtKlai:^. 

All nfiuilly linn Iiiiii<Ih):<- niny Im> a|i)ili(-(l uilli the ujKrj 
of n liTtft niimlier of ImnibiKii', !f tlie Hiirpiiti hiIm uvi-r tlioj 
MiriJuw of etu-li liiyi-r uf liun<latj<- uiijiliiil a little nmifa 




PLASTIR-or-PAHI5 DRKSSINO. 



96 



ftWbT, then ii|)|il,vin>; nmitlirr liiyrr iut<l rt'[Mnlin); tlit- 
nm*- pri"'<'<liin'; intinliinK lhi> <!r>-%-iiij; liy iin external 
■ uitiiti; iif iiKiMt iiliiit'-r, (iH uIhivi.- ihtU'rilH'd. 
Ill ii|>|>lviii}; ihi'M.- ilrTw>iiip> n ft-w<T iiiiiiilH-r oriMiiKl.-i^cK 
l»ill In' nrijiiin^t i(" luipniw *tri]vi of tin, ziiif, or l»imi<T'» 
»nrt\ iin> i»ii>r|ioratt'<l in tin- Invert iif the Ixiiiibif^^, wlik-li 
' «) iiHtniM- iIk- 0trt-n)!lh uf the <lreN»'ini;. 



lyTi:Kin;HTK» I*uvHTKiM»>'-rAi{iH Di{»>»iiM). 



(Thi.-* fiinn wf |»la»ti"r-<if-I*nrb* (ln>**in([ isapiiliM liv first 
lurintr X hIkiH intii n«l iin<liT llti- cxln-niitv mihiv (ILstiMHi! 
Uivr nml fx'ldw tho jxiint iit wliicti tlic ilniv^inK i^ l<> \»' 
inli-rniiilol; iIiih in lixnt liv n lew liinm of tlic jiIji.Mit 
tii<liiL!<- iitmn- nnd Ih-Ikw the |H>rli<<n of the linili uliieli is 
i> U- It'tl i'X[HUK<(); Hioiit win- i'f next Wnt into Iohjki. tlie 

no. n. 




fXtP'iiiilii-^ »f wliieli nn- itKiirjiomliMl in the KnWtjuent 
jnw of the iilnxler Imiiifii^-; ihni' [<«•]■* llln^ jihuHtl in 
llilltiiiM Ui rill' iRi-ti-rior iron Icir will iiMUiltv iniike the 
tnwiii); xiOI'-ti-iiliy Hnii ( Ki^. w>). A nnnilier of iiirtu> 
if ihr' Uimlnp' an- iiiijiliit) In lirnily lix the Iihijim, nml 
}ie limli M liclit in the tWiml iKwittoii until the )>Lk-liT 

UUiN't. 



96 



SPECIAL BANDAQIS. 



Application of the Plasterof-Pahis Jacket. 

The patient's body should be covered with a Boft, eloaely 
fitting woven shirt without anna, but with Bhoiilder-«trapB 
to hold it in [wwitiou, or an ordinaiy woven underBhirt 
may be emiiloyitl ; one or two folded towels, or a pad of 



Fin. 81. 




Sus|ii'iis*jry jip|«mtiJK. 



(iilliii) lii]<li'<l ill II liiui'l. iin' iic.xl |>liii-<-(l iiviT the ulNlonion 
Id'twcfii Ihc sliin and the skin — ihis !.■* i-alkxl, by Prof. 
Siivn-, ill)' <tinii(T |iii<l, and is intonditl in Iciivc s{>aro for 
the distcni loll of lilt' iiIhIoiiicii iifliT eating. Small pa<li« 
of nnv iiilMii iiiiiy jiisii In- jilaiiil over tlic iintcrior iliac 
>piiiir-, unci, ill the nisf oC li-niali'!i, a jmd of i-utton 




l'I.ASTKK-Or-rABIS JAUKKT. 



97 



n|>|M-<I in a hniitlkercliior iiui^' be |ttiuvd over eadi 
nuiiiiiimrv (>lniiil. 

tiiii.-liiiii^ (if n mlliir iiiw) nriii-|)ii'(vM »tl»i-lie>I In a i-dk^a- 
luir'l Kit;- '^l)> nliii'li i" nltiu'lu'<l \>y ti i-oni utiil iiulloy to » 



Fmi. A 




I^Ucnl MBfended k* aj^illouiiiu u( iiImIci jMtd. 

IihhI. If tlii^ ii|i|Hiiiitiii' t» mil III liHiiil, II vi'n- mlis- 
Hiun- Milw'liliili- iDKV Im- iiimli- by f<>1<liii|; tui> towclr) inln 
i-mviitf mill (villi; ("Ki'lliiT tlx' I'litU, mt Hf In niiitic two 
tiHit*^, iitit- III' uliii'li IK iilucxl ill inch jixillii; n luir ul* 
wtutil tM'd 1111(1 II liiiir Civt ill li'ti)clh in iH-xt tiikcd iiimI |Ii«- 
luit|Ki iirv tn-iinil lo tliv rniU i>f lliL> l>y flitiit runUMr 




m BTBUIAt UAKDAOICS. 

liiimlkcrcliiefTi ; ii IlnrtoiiV lian<)iig«< is n«xt a|»]ilii<<l m tlw 
IhiiiI, unJ II filrip of ImiihIhk*' i-" [kifvu^I uikIit llir tiinio 
whicli <:MHs llip v<Tlc.\ iuj<l is n-(-iiiiil to (he Rii<l<lli- (if ihf 
i-nK^^luir. Tlic tuir Li ii*xt HtL'|M'ii(l('() bv n itmi jniwiil 
llirtni^li a |Mill(^y or riiijc wliu-h niuv \x' iittat-liiHl u> ttiv 
Hill i>( a (liiiir if till- iinliiiary (rijHiil miimit lit- ttliUunt^. 

Till- (latu'iit t^liotild lio i^lowly nii.-Mtl liv iIh' n]i|»mlUA 
tiiilil till' U>t'f iinly an- in iimfncl witli iIh- HiMir, iiml itit* 
I'xtt-itHioii -liotilit ii'il Ih- iTirricI In ilic |Miinl vtliirli mnkiw 
it imnitiitorlalili' in tin- [mlicnl. (Fiif. H2.) Tlu' hIuiI 
fliiiiiltl Ik- ilmwii iliiuiiwanl ovi-r lliv liijiH bv an iLtMtntniil 
and lii'M in i>liu.v iiutJI a ll-w tunuul' tlit; (smtliigir Iiavo 
Ui'n a|>|>liit], 

Till- |iliiM<-r tiandiiirt- li»viii)i Irfttt Mnikt-il hihI .■<c[iitHiM'(l, 
H turn sttonlil In- inailr anmiKl tlic ImwIv al>»vi- tlir 
iH-lvi.->, mill it xbunlil tlx-n U' iiii-riol iI>>wn»Hnl Ih-Ioh- tlic 
liiao !«jiiiM>4, niiit rn>in lbi» |ii>int !<b<iti)'l Ik- made lo bmi-ikI 
Kntdnally livKjiiinl tiiriH tiiiiil it ixwIii-fi llh- a.xilliirv liar. 
I1n' tnrnii fiiioiild Im- n|>jili<-<] "niootlily and iiol Idd li^dilv. 
AOrr ()iii> or Iwo liiv(-n> ■■!' inrnn liuvi- Ih-«-ii a)i|>liitl, ttu* 
Miiytim miiy nib Miini- moi^i jiIiu-Iit n|Hin (lii-ir :<iiHiicc if 
lir iliviiv.s III nw fi-wi-i- luiiKliiiri-i. Tlii'i*)- tnni.-> an- n-iHWltyl 
niilil a Ixuidiip- ol' tlu- iloiiiil lliickDcw in a)>|>lii-d, and 
ill*- .inrtniv of tin- dn-tvin^ ituiv In' llninlicd by nibbin); it 
oviT with inoi.->trm-<l )>lii^ti<r. 'I'lii^ jw-kol fiiru<-liild will 
)fi-tM<mlly ni|i)in- llic uw of lour b«tida^i« of tlit- iliimni- 
tiidliH ^vii) ; tiir iiM ndltll, nix til fi^lit licilldap-s. 

Till' imtifiit nliiiiitd Ih- kcfil niin]H'iiil<il iiitiil till' bandiiin- 
luw M-l, iiniially fniiii till to liftit-n iiiinitlt-n, atid tlivii nlioiild 
U- <»n>rnlly lilV-d wi ai> iM>t (o Ixiid tin* Hiiim-, nml jiIikviI 
n|Hiti liiri luu-k ii|i<>ii a malln-nn, inilil llic iln^«t!n^ Ixtv^nuft 

IH'Hii-lly ImnK'Uci). Tb<- diiim-r |iiul, and nmiiiniiiry jMiibi, 
( tiny tiav<- Ihi-ii um'iI, slimtld next U' n-tnovitl. In ii)>' 
filyiiit; tin- dn^vin^, Hlri]in of /itii- or tin inuy U' pliH-nl 
n'luiin till- Inyim of laiida^' U' it i^ di-sinil In ^vv tnoRt 
itnrufi^tli lo till- dnswiiig. 



THE UA\'AHIAlf DRESSINa. 



yo 



Am'I.«'AT10S DP THE JtlRY-JiAWl- BV MkaSS OP 
Pl-AJfTEII-OF-PA II IH. 



h lIlHtltM* II 



nil' 



nil 



jU 



tl 



liiiiiiE' iiivulviii;; tlic (^-rvunl or iipjit'r 



rm-ss 



ilonuti nY'H>ti thf nmiimrv pWtcr-iif-l'urLu jacktl is ii«l 
witi"fin-ti)n. iiiiil ill ■iiii'd (ii*f« ilu- '■Jnrv-niai't " in wii- 
))ii),vnl iu i-utiutrtioii (villi ihv \ihuitLT ja<rkel. It) a|il>lyiti)^ 
ih*' " jtiry-mjwt " iIil- same slcpB iir>! iJiki-ii in tlio jinjiara- 
ti'iii iif tlif |iiitR'iit a>i ID a|i|>)yiR^ tin- plaiitcr-nl-l'ans jiwlMTt, 
M'illi till' <.'Xi-i')iliiiii of vx tell!- ion, vrliich niiil mil In- MMtl. 
AlliT tlinv ur four luyen; of ihi- |iliif<t('i- IiuikIhk'' ^mw 
\ Invn ii|)iilitil III itii.- IjimIv. un an|uiniliis inutlc of Imo )uin> 
I III* iiMiil hiiviii); tMo |K'rl<>i-»k'<l strijie of zitic nlluthiil 1o 
thi-m :i fi'W ini-lii.-H ufiurt, whicli 
juirtlvoiK'ircli-llirlKHly, !» appliLxl 
mill Iti-UI in iKxilioi) l>v ttmiH of 

llw l»lll>itcr f«linilljp-. Tllf IKT- 

IH'ntliciiliir Iwrs luvc :it tlu'ir 

mHwT |«irl a ^'lol, into wliicli lliv 
' Iimvr i-nd ( Fig. h;1) iif [hu " jiirv- 
iuMMt" Atr-, mid !!> i4viirwl bv » 
raimw ; lo lli<- nji|MT imrl of um 
'if iiltilt'lM-)! II mi>vtil>ri- (To-w-liur, 
[lowliirli nrt' fii-'ti-iitti llii' "tniiw- 

of llii'iiilliir fnuii wlii<-li tJit- IkwI 

is f>Ue|KIMkll. 

TlIK li-WAItlAN DlEKWIXtl. 

To njijily tliiw iln-wiim, wliii-(i 
'Ik nimrlinii-s I'liiiiloyitl in tlir 

tnnlnx-nl of fnv'lnn-n, lnk<- 1w<> 

(tiiTi'M of < 'aiiluu llaiinri llx* li-ii^li 
[of tin- imrl to Ik- i'IicIiumiI, nml 

nion- lluiii Willi- i-nou^li ui cn- 

wlofir ii> cin'omli-n-mv. In nji- 

jilviti^ it to iIji' Ii-^ ()i''n' jiii'ii^ ■lioiilil Ih' i'ii( wi iiri to 

(iim^l'inil to iIm- oiillinc of itu- W-^ nin) (MH'lfrior imiiimi 
lot the tiHtU 




ll4a4-«U]l|<l(t klHl |wr-DML 



100 



erCOIAL BAKDAQKIJ. 



Tlu»' iiiuwi «li(tiitil l>c pliuifl oiiD iivn ihc (rilivr iiml 
iM.-Wf(l li'i^'lliur ill tlic muUlk- liiu-, tlu- i^rain (x>rriL>|M>tHtin;e 
til till' liK'k of (lie Icj;. The lij; uihI fimt iin- tlx'd ])l»i-ctl 
ii|H>i) tliiii. nixl the iiim-r layiT nl' lliiiiiicl is hniti^lil up in 
I'mrit of (III.' k■^ iiik] uvcr tlu- duiyiiiii of llie l<Krt iiikI tiiivk- 
liwi with piiiT^ (^'iK' '^O I'liuitcr-of-I'firifi is iiext niixnl 
vridi wnt«.*r u(u] iiiikIc into ii f»\»tv, wliioh i-^ nilibctl thickly 
ittiil I'vcnlv iiwr th<- thiiitifl next tn tli<' liiiili until » i^uHi- 
rii-tit thii'KiifTW ii^ ohiiiitii'il : th<-i>iit(r liivcr of ttiiniipl ta 
iht-n iii»ii);ht li]i nliunt ilk- Uk iiiiil inoiilikil t» itM Hirliive 
Iiy tin- humU. A Imiwly n|ijiliiHl mlhr iniiy now \yc iis«l 
tu luiM tliL' ilrt^i^inpt in jiliux.- until lliu |>liutcr ha^i net. 

m.M. 




UavuUii draadiiH. 



Whrii it !,« nitt«-<«ry (<i iti)'|>i'4-l tlw |i!ir(--, lh«- tMrini of 
lh«- mlliT :ir<' i-iit, ikiul ii]H>n w|Miniti[i|: Un- hiym nf flimnci 
IIm' tvfti hnlviv tiiii In- tiiriKvl iu>i<l<-, inc Hnni itt lhf> Inu-k 
m-tin); um n hinge. tT)Kih niiiiplying the Miliiit.'' td lli<> Ir^ 
thvv iniiy Im' niiiinttl in im-ilinn liy » roller or hy uitc ar 

tWII HtrijI* of iMIMluf^'. 



MnliU>KI) I*I.AKrK){ Sl'MNTH. 

It u Mnin-iiuii^ loiittil ili(K<-iilt to ii)>|ilv tlM< ttrHiiMry 
[iInMit ilri'KHirip* to |«irt» irnynhir in ihoir Hhit|M-, iintl iit 
llir miiiH' liMK- to Imvr ii upliiil w liii li «in In- rct)iov<'<l w ith 
fttrt: To It'll iniplirili llitH jinr|RiM' niitiililiil ■^plinl)' ivf 
{ilat>lrr tuny Iw iiiiiilc hy 1111110); 11 |iit[ii-r jiullcrit I'f tlw jairt 
to he iiDvi'nil ill. mill lh»-ii mttiiit; iwivn of rriiioliiH- t)i 
tiHifiinti III ihiN |Ktlli-nt ; riKlit or l<-» iHoif will iiMwlly 
fonn II .iplint of Miillicii-til thic-kiiit«. One of lliuw IHMW 



TKArriTtO PLASTKR BAJtVAOtB, 



lot 



n 



»r miK)liiii* iH liiiil ii|ii>ii II xMf nml dry pWtcr in hiIiImhI 
Into ii" iut-»li'-n ; nii'^h'T in liiiil ii|>ciii iIih iiticl pliinu-r it 
ii|>|>lii'<) to it ill (lie *niiii- un\', nitil lui nii until nil i)ir im-cut 
'Sivi< Im-ti |iliiii-i) ill [><i>itii>ii, iiiK- iiviT the hiIkt, wtlli 
iliiHli-r nililn'<l »<<ll into ihi' iiii^Ikv. TIk' drt-iwiii)' in tlicn 



I 

' III 



fnliltil iiiiNiiil'liiijxil iiilourilfi, M[ii<H'Mil (lilt, mid iiinuMtil 
Mt till' [cirt »iid tii'ld ill (MHitioii, tiiilil il m-Ih, liy tln^ tiimn 



^( a Uiitdn)^'. I1ic itlffurs iJiindil ovcrliip sli^itly, iiik] iu 
l>|t|i|yiiiir il A tiiri)) of wii^cttl )ui]¥'r iimy W |>liuM-d iiihW 
^jltf ovi'rlii|))iiiiir ihI^- to |ircvfiil ii.-< itilliciioii to th<> dniok 
htff Ix-lon', 1111(1 lliiL-' rm-iliiiiti- it.-* niiiovnil. SiiliniK [>rc- 
IMinil ill l)iU uiiy mil In- ri'iiiovi-d H'illi fu^; iiiid iirc olVii 
DI'm rx'iiv ill 'il-os wlH-rc it in divirnlilc to inn|tn-t tlic (mrlit 
rni|ucfitly ; ] Imvf (■tiijiloyi'd miIIi wlvattlii};)' i^iicIi A|iliiilM 
tit iiuilciii^ fixnlioi) lit' the ]|i|i-}r)iiit in m^:* uf iitxalftiii, 
l^uiid ul«> for tli<- !«iJiH- |iitr|)<w in iillii-timi.- ofottiiT juiiilx, 
^■Tlii- •)ilinii> ii|M>ii Ix'iti); miiiiitiiil aiv Mi-iiri'd hy it IL-w 
^htripK of IntKlMp', or Ijy ti rullrr Imiidii)^. 



TrAI'I'INO PlwVKTKIt B.\NI)A<l»t. 

Il) ii|t|ilyin); tin- iil;ist*'r-of-l'ari«div»iiiij; ton |K»rl wlii-r*' 



•rv ic u woiiiiil wlitrli is (iivcnxl iiy tlir jthtslor Imtiilii^-, 
Via. ta. 




^ i» wi'll to iiuiki' tiMiM' |Hv>viNii>n nlirn-hv Mik pWlitr 
In-Mtititr nvev ihn tut» tif the wniind nwy ^n' rut iiway, 



102 



SPEUIAt. BANOAOXS, 



mnkiriK u Imp ur wiikImw l)inMi|;li wliivli llic vnniixl rniiT 
Ix- iiip(|H-flcaI or <ln-n«iMl, if iii'"(*«iir_v. (I""ic. H-V) T« 
mx'inuiilislt till)'. U'liiiv ii|ij)1yiri;; ttu- |)lii)'tiT lMii<ln)>t', a 
ciiitipri'W of lint or ^nii/.c 'lioiilil 1>;' |<lnt\-<l nwr tin- wniiml, 
wliicli, whcii till' <lri'Sfiiii); if t.-iim|»k-t(xl, IttrniK n |in>j<t-tiiiii 
<iii ibn surfikcp, iiitlii»tiii}; thv |KiMtliiiii of tliv woiiiul, uiu) 
a\ftt hIIow till* •iiir);i-»ii i» nitl nwiiy (Ik- dixwHiu); withimi 
injiiriiiK ttic Hkiii Ih-Iow. Tli<-»t' (nt|w iiiuv Ih- i^it on) iiH^-r 
llic IuiikIii^- liiK juiriinlly w.-t, or iitVr il Im* L'itiiiK' Imni. 
Ill ii|ii)lyin}; tlu- iiliWi-r-ol-l'iiri" »!r>'s-iii); iri <'ii»ww of titiii- 
|Mtiiiiil i'nu'liii'i' mill iilU-r oKt«-otomy, I iilu-nvi' iiinki- fine 
viMiiKi for 1nt|>]>iiic of iIk- iKiiMln^- if it ctioiilil iM-nmir 
niiMMenr^', iillhoiigli in tlic vtiot iiuyorily of iiiwh itilutv 
not liiivv to be Honv. 



RKUOVIMi VlMflKU-ttr-PxillK t-RflU TlIK HaMW. 

OiK- ot»j«"linn to llip lixfor iiliustcr-of-l'ftriii iln-wiiiffK w 
till' ililliriilty of n'liiovin;; il fn»iii llu- IiiiihU of tlir Mtiviitnt 
anil iIk- lmr»li coiiililioii in wliirli tlii' i»kin of iIk- baiidx u 
It'll uflrr ile n^inoviil. tf, 1iu\tt^\'i'r, iIr- hnixla itir whkIimI 
in n wtliition of (iir^Miimlo ofTUNlitim — ii liil)U-H|MK>nriil (o a 
Imniii of ivnliT— (Ik- |itaM*T will Ih' rwniily niiiovMl «ml 
tlio Hkin will Ik> It'll in u mH iiii<) »)infiirlHl>li- t'oiKlition. 



Kkwivimi thk I'i.aktkimik-I'auo' itAstunK. 

TIk! n-nioval of tlii' |>ln.-<liT Imnclm^* in MiniiiinKw n 
nuiIItT of (litliiiilly, |iiirli<niliirly if it liii-* ((■ U- rcniovtil 
iH-fon- till- ]iiirlii 1m-Iow it arc (■oi)»')lt(liiu>(l, us il iiuiy ilb- 
arninp' tlHin uii<) miiM- the inilifut jmiii if U in not ; 
ni<(iiin|)li^lii<il willioiil miirli lonv. 

Wlicn IIh' Ixinilii^i' in n|it>Ii<t) to «■( ii auttof tlic imrt, » 
Hlri|i 111" ulifi-l-liwl .im- iiH-li in wiiltli in firit [ilintil over 
tJir HiiniK-l Utmlap', ttn>\ It itllow<-<l to tirojc't at iw-li t-iiil 
U-yitinl iIh' iln'HHiii|i ; iIk- jiIimIit iiiii tlicn )■■ n-wlily t-ut 
lliroiit;!) ii|Miu tliiH Mri|t willi ii knifi- willioiil injury In tii» 
|iurtH Mow. 




SB8 OF rLA«TBtt-0F-rARI8 DRIi!<iSt NQS. 103 



It niiiy also l»c rcuoVM] l»y inmtiH of a saw (K-viscil fur 
^jiiis jiiirixiM* (Kig. ati), or Uy i>tniiitc mttiiitc sliitiim of 



nu-M. 




HuuMr'i <■'< 



ux |>lMlct liiail<((». 



VII 

I 



vnriitiiK kiiKltt (Fiff. M7>; or » lim- may lie (tninletl ovrr 

»■ 4ln?«<iiiK «iUi liyilnMlilorii- ikmI nf vim^ir, Mliicli 

■di-iLs iho jtiiiHUT Mt tlmt it ran rEwlily Ix^ ait tlii'oii^li 

till n ItDife. Dr. Williiini K. Ilniikiiiti iua dcviMN) a 

L't-rtrlirtitiil iiirtitl cluiiii whidi in :i|i)>lif<l to llii- finrt tH-fi>rc 

tiif jitiLHtcr I- u[i]ilic-(I ami n-'inovitl ulu-ii ilir ImiiOa^'c liaa 

pm.k. 




BtNiin Ihf ciMiliiu i^aiWt hoii'Uco. 

HI, Inkviti); II lii>IU<w Inngiludiiiiil rvi]p- mIiHi <iiii Ik* I'll! 
Jin>iif;li or iliviiliil uitli ii nwp. TIm' iiw of ilu- T*nw or 
tiiiin i-i. I lliitik, iiiiHt <vilii>lii<*lorv in r<-nHiviii); tlii'n*' 
; the oiilv iiinlioii to In- <'xi'n-i<'iil in til I1W ilinn 
, II- llu- liiiiil liiy('i» of iIh- iKitKlni^i- miMiiviilinl, lo 
ivoitl wotintliii): llii' nkiu. 

UatW OP l*I,A.'<TKItH)P-l*All1H l>llKt«4IN«M. 

Tln'-r dn-Hxiiiif!' iin* <^ii)>loy<il to mviin' liiciition, im |>ri- 
amry or dtiitiilnrv <lnfSftii)|fK in the trciitnnnl of fnii-liini<, 
mil for u liki- |Htq>o«4- in iiiJiirii-K nml tli^iiM-x of iltr )i>inlR, 
Ilit'v nn- iiImi liiryi-ly iimiI tn ihr tniilini'iit of diM'MMTi 
liiil tli'torinitii^ 'if till- >'])in»I ifilunin, iiml will nl>ii> ite 
Hmnil miMl fwtirttiu-ton- n|>plt(iitiiiiiii alW ottUirfomy bihI 



104 



SFEOIAL nAHDAaiB. 



tctinioniy, b> Mecure immobility and hold the (wrUt in tlwir 
oi»rrwt«i (Hitutioiui ; wIh-h <-n)|iI<iy«l in (lrt**iiin raww iifl^-r 
tiiHit'tiiiy, (lipy art- fp'iicnilly iim^I for u few w«-ks iiutil 
lh« pntpcr itivi-liaitical apjNiratiis ih appliMl. 



TlIK ^h■AltC■HKI> 11am>a»I'1 



J 



'I'll (i|i|>ly tUiii IkiiuIhi^- i^itunJi ik liivt mi\v«l witli ixnid 
unli-r imiti ti fliirk. cnttmy niixliirv rcfiiKs; U\ ihU is 
luliiitl iHiilin^ wnU'r iiritil n <;li.nr iiiiK-ilngiiioUfi lii|(iicl b 
linxliHiil ; if t(i<> tliiii it i-nii Ik- miuli' tlii<-kcr liy linitiiif; It 
ii|iiiii n "tnw. Tlic ]>iirt t'>l>«Mlniw*il i" fii>t tiivi-n-cl nilli 
R lliiiiiicl riill'T, nil'l owr llii'' h few iiivco' <>f ii ('Ii<i-v<im'1i>|)i 
<ir i'rii»()liiii' laiixiiip-, wliicii liii> Urn "iiniillci'ii, itri- ap- 
pliiil ; lln- hitiri'li i" llii'ii xiiHTtn-fl or nil>lN'"l witli tin- htuiil 
evi-iily inl«> tin- m^fluv of tW mnU-riiil. miil llii' ]xirt b 
n|{aiii iiivt-ni) witli n liivcr of litniH of tin- Inimliiifc, iiiiil 
llK-KlHrx'li ir<ii^iiii iiiiplim ; t]ii» niiiiiipiilulioii i^omlintitil 
iiltti) » (In-^iiin of the di>iri'il lliifliiiiT>,» i^ priMJiKxi). 
.Slriiw iif juMli'lHuinl iiuiy Ik- ;i[ipliiii lnt«itii (lie luvvi* (if 
tlii< luiiiilii|fc to givo ml<lili<]iiai tttn-ii^th tu llic ilrrNHiii^, It 
doting I. 

It n-(jiiircH friim tn-tiily-fiiiir to tliirtv-«ix Itoiim liir Um 
Htnrt'lutl tiaiiila;^- (o Iknnhik- dry and ilioroiiKldy w-I, and 
it iiiuy I"' ri'iiiovti! in tlic xtuuv wiiy in wliiilt tin- pliwlor- 
ol'-l'tirix dnwiny if nniovni. 

r«K. — llclon- till- tniriHlui-tton of tW pliwtiT-of-I'ario 
(Invwin^ it wiw fonntTly niiu't) «-inployitl in iIh- tniitnii-iit 
of fnii-liin-H and in iniuriiw of tliv jointi*. It niiiv In< iiHtl 
in ««Hi awf, lull |«(w«»«'i> no ndvanlni^c ovit i(m' former 
dn-Mint; nitil )uim the iliHudviintu^ uf wltin|; tnnc-b Ivm 
promptly. 

Oiiii AND C'liAi.K Bashaur. 

In applvinir thi« ilmwini! «^<(|iiiit tuiirti' nt [Kiudt-ml |riiui 
aral>i<- ami pntipital'il cli.ilk an- niixtil nilli iMiilin^ wnti-r 
until a iniiMi of tin- (ijni>ir>triii-c of <-n-nm n-f<iiltf<. Tliia U 
applin) to llit> clH-i.'WMtlnll) or rrinolint' Imiilap' in Umt twtw 




Ilia 



THI PASArriN BANDAOK. 



niiUiniT w is ttiv Kbin^li in tliD n[>])lii::iti<>i) of Uk- Htnix'hi-d 

iiiluLf-, il liiiJi the iiilviiiitH(^' <ivtT tl«' liiltcr ilrxTwitif; lit' 

KiiiU iii'in- |in'tii;>tly, tivi-or "ix liitiirMiiily In-in^ n-iiiiiiitl 

fur it 111 iHtxniii- luinl. Il may !«• iiiii>liiyiil f;>r lliv wiiite 

riHiiii^-s af llif Hlnn-lit-il or |iliiMiT-"r-l'iiri!^ IxunUigv. 



SlLli-'ATE i>V I'ttTAtfWH OB Sl>DirM BaNUAOB. 



111 aD|)Iyii)g lliiH Inmla^ aRtT a ttaiinrl roller jumI 
vfml lay«-rsof n i-lii-^^^-cloth or friimliiu- liaiida}:*' liiiv« 
I'll iuii)li<tl M Uti- (lart, ilie ^iiirtiicc of i)ii- laitir in niul«^ 
iili stiiiiilf iif MNlititii or [MilUhaiuiH a|>|ilio(l by iu(au8 of 
H hninti, ihfa a wcitnd layer of bunda^ff Lt u|>|ilii>d and 
Inufail in tlit- Nune Diitiiiu^r, and ihi.-i mail ij ml at ion Ih am- 
tiniii'd ntilil a luindii^- of the il<~iin-<l lhi<'kiit?.>< in pmclutitl. 
t n-nniiT* iwi'iily-fiuir lioiirf f>>r lltin dm^-iii^ tn iMiiimo 
iriu. Ill ri'liioviiij; llic ^ilii-alc liciiiilu)^- il niiiy W- fir^t 
rtciiiil by quaking it iii nunii wiiUT, niid tlti^i it ran lie 
iily 'nit w'itli n«-in«Mif*. 

It) n|i|tlyiii^ citlicr tJir iitan-ti<i| biinda^' or fix- sitiiiiti* 
[HtUbwiiim bctmlii^- <iir>" Nlmtilil Im- Inki-n to iiw obtt-w- 
■ib or criiioliiiv nbiHi btu> Ihvii ^ibniiikMi by iM-iii); 
iionii'iMtl and albiuiil ti> ilr^' Ix-fori' b<'iii); i-tiiidovtil ; 
iMTwiw diii)K<'niii^ i'oiii|>n'wion of tlx- jiiin iniiy on-nr if 
!•■ ImmLuKi' tuif lai-ii tinnly uiiitliiil unci nlirinkit atW it« 
|>|tli»itio«. 

^^ The I*AitA»'»"is Baniiaor. 

H| I'biniffiii, w-bifh mvtto a1 fmiu 105° to i:iO° F., Li iimhI 
^Hi (Im' ii|ij)li(ulioii of ibiri Ikamlagc. The limb iM'iii^ 
^Hpvrntl by a tiannvl ndbn*, a vism-] timtainin^ iiaraHtn in 
^Bliuvi) in a Inisin of Ifoiling water. Aa the nillrr, wbifli 
^^wy Ik> vitlior of flannc), cht*«'-cIoth, or orinolin*', it* 
oiind it id ittUBcd tbroiigh tin.' oieltt-d jmrafliii uimI 
i«l lo llie imrt, aixl ibo tiinis art' rrjHflt'xl iinlil n 
"itijj of ^iithoieiit iiiiikiH-H» n'^tiliii, and ibi- Mirtitiv 
Im- bni!il)4?d ovpf wiib imltnl jiamllin. Tliis dn^ving 
vi-ry rupidlr, being tjuiti.' firm in rn>ni livi- u> tcu 
jnittnu 



loe 



8P10IAL BAKDAdin. 



It piH«4»«« (111- lulvaiittmi" of tho ntlier fixitl dn^oiiif^ 
in tliul it (liK^ not :)li[^>rl>i)iHi-liari;t's hixI Ixiiinic iifli-iioivc, 
uikI li>r ttiU nw^m it wih runiifrly ni>>iiiiii>'it>lii1 in 
trralineiit nf mm|M)iin<l traclnrcti. 



GU!K OH GlITK ANU OxIDK (IK ZlKC Ham>a(ik. 

Oliiv or k\\U' nnnUuwi] wjtli r>xiit<- »f xinc Itiio In>mi rin- 



1 



UKiv or aiw 

lll'IVI'*) ill (MC pi 



|il'iyi'<l III llic |>ii-|>)ii-»lii>ii (if ti\<il (in:!wiii|r«, l>iil (HimvMti 
111) ltd villi ti)}^-s •■vi-r iliiiw [iri'vioiifiy im-iilioiiHl. 



lUw-tllllR <lR IjKATflRIt Sl'UNTK OK l)ltfS!(lXCK. 



til iiiiHililinK niw-liiilf or kiitlivr ><]i|ints it if m'm^tta 
first, to a|i|>Iy ii iiWlrr-ol-Pims Imndat?- to the jairt to 
nliifli tilt- ruw-liiik- K|)liiit i>^ lo Iw 
'^■*- liltt^^ ; ltd eiioii IIS llic [ilit^ttfr luLs 

M-t it in ntnovcil, iiikI » Kii)i<l ]iIiih- 
tt-r mHl is iH'Xt iiin<li> Uy |H)tirii: 
li(|iiitl iila^lt'rHit-i'ari!) into t 
moiiUt. When this hns licxtti: 
<lry a iiicmp of mw-Iiidv, wliirli Itiis 
Imi-i) txakitl fur a tiiiii' in uurtn 
^v»t(T, i-i uiiiiiM<'«l to tilt' i^til itiiil 
\w]i\ firmly !ii iTiiiliii-t miiIi it 
II ImnilnitT- until it Iiil" Intitini- ] 
fii'lly drj'. It i» tliiii n-iiinv(^), 



I 








kanlivmaiiu t» omim) nulw< 




iu Murfacc w envrittl witli M-vcrul 4<nn(H of mIm'IIiu?, to 

i-v'iil itia itlwrltiii" iiiiiiMiirc froiti i\u- xkiii vtli<-ii a]>- 

ii-<l, niul <')iuii;:iiii; Uh mIuiik-. Kvc-U-ti' or )KHiki< iinr fiLil- 

*t\ t" llii- iHlftii. lit' tlio n|itiiit, ihnm^h wliii'li Mriiijpt nn- 

*tl t'l Mviin- the KpliiH ill i)Iii4t. 

Isulf ill tliiH niiitiiH-r mw-iiiil<- H|ilititH (It (Itc juiii vi-ry 
imti'ly, iintl tiui-iiliilf ii vrry sHli-'fiii'tiir^- ilnwiUi^ (i>r 
(■n^-> III' jiiiiil'<lttMti»i', tiitil ill (ho riinii nl' It^iUn'r jiirki'U 
arv iifU'ii I'liiiildVtvl in tin* trfiitnicnt nf diMiiM' »f tlic )>|)iili' 
111 jibuT 111' nil- ()lii.->l<-P-i>l'-l'iiris jm-kr). (Kijr. 8H.) 

Ill till' tn 111 till 'II I of lii^)i ilfirsiil or ivn'ii-nl mriiw n 
i-nthtT Hjiliiit ill l«-<i Mviionn, wliidi n-sW ii|niH ihv 
' i>iililn» tuvl im)>|M>rtA tlio h<iu), Lh iiOcn iikmI with pH)d 
iill^. (I'V >*«■) 

ItlNllBR'H ItltAltll Oil PAtfTKlMlAim Spi.lNlH. 

Thix iuhutIuI, mIiIi'Ii <3IIi Ik- olitninc*! in »))ect» of ilif- 
krvnt tliii-kn<«*. lit fni[iiMiiiy riii))l"_v<il fitr iIm- iiiunii- 
mri- i>ra|iliiit)'. In nimililiit;! tlic^' r•|tlilllt^ a jHirtinn of 
III' Imnnl of ilir ni|iii"iU' stw ntiii ilii<-kii<-w is i)i|>)K-(l in 
• ■iliii); wuti-r fur a "Imrt tiim-, :iiul wlnn it liiw luiviiip 
[iftriiiii il i" n-iiiovnl :ini) .illowiil to (••••■I ; a tliivk luvcr 
Bf iiiMiiii ticittiii); i' nr:iit ii|>]ilic(l ov^t it, nnd il is dim 
iiMiutcliil 111 the imrl iiikI Ik-Ii) liniily in |il;u-)- bv llii' turns 
■if a nilliT liuntlii)^; in » li'w liniini it lK'<iini(« (In* uhI 
linnl. 

'lliiK nniti'riii), fniiit it--* i'li4-ii)iiii'>f> unit llif iitMc wilh 
wliii-li it to oliiniiKi), i" fWi|n<'iilly <-iii|iloyMl li> iiii-nlil 
■jilint- for ll)i> (ni)tiiirnl fif fmiiiiri'H, '^|KVtiilly in i-liil- 
■Inn, mwl (<>r the lixiiiinii of j<>iiiii> in tlu- trfutnit-nl iif 
uriili' nii() ■■tir»ni<- jttiiil nlVtilinnH. A inmilikvl juiMli'lHiiirTl 
ini i» iiImi iirii-n i-iii|iliiyisl to lix iIh* ittiU nl' iIk- Ihuhk 
er iIm' i-xi'L«i< hi oI* a }i>int. 

['iiltoiw Fki.t SI'I.ISTS. 

TliU nuilrriiil if i>If«» iiupl'iyttl lor llu- nmniifiMHiin* ttf 
AIMm, ninl if :i|i|ili<tl liy (li|i)>in^ llir iiuili<riul In hot uala-r 




108 hatter's felt splints. 

and then moulding it to tlic part; as it dries is becomes 
liard. 

Hattkr'h Ff.i.t Si"I,IKT8. 

HutU'r's felt is also frMiiioiitly <'iii(iloyed for the manu- 
factiiro of Kjiliiits or drcssnijp*. It iw miftcned bv dipping 
it in Ixiitin^ vvuUt or hciilin^ It in the flame of an alixthol 
lump, und when sof) and plitilih' it is nionlded to tlie part, 
and 'dB it cools it upiin tHK-onu-s liiirtl. 

Those splint :iii' <'iiij>l<iy('4l tin- the same purposes as tho(« 
made of plastcrM.f-l'juis, Iciiilior, or |ULHteb«»srd. 



PAKT II. 



MINOR SURGKKY. 



Tbsory of A»op«iit &nd ADtisapels in Wound 
TreBtm«nt. 

Tiie trrni Am-uM. niiplio^ 1o noiiixle, uniiliif thiit llii> 
'r»iii)il i^ free Inmi tiiiiw v<-Rvml)K> ]uinL'^it<-f« •'T miorn- 
iinUniA »lni«- prcaeiMv rtrts U|> iVniK'ntalivp <-luiii^iv, 
i>ni]ieiiint Ity «u]>|>iirat!oi) ami cunKtiliilinnul diitliirli- 

IMV, 

Aniufpicw, i>n the o(h«r liuml, has rpfrrencv to the nu^ti« 
pninliivttl 1(1 l>riii;;:il>oiil thftlotniiHiini of niK-rvMirKniiixiuH 
wliirli may Ix- prf^vnt in the whiiikI or ii|Nin the innlni- 
RH'uti), (in-winjpi, or huiids of the iiur^)D, and whivh, if 
not (Icwlmywi or remlfred iiwrt, will set up femientutive 
■■huiipfi ill thv wiiiiikI. 

It haf' loll); been a Wfll-rr<<(^tii»-<l riU't that alhiiiiiiiiotil 
MilMtHiiiT«, niidi as (Uiiil iiiiiinnl (iw^iir'. IiIihhI, or IiIihnI- 
Mmitu, will, «vlH-ti exiNMC'd to nioit^tn re, uarmlli, and liii' 
prrw-iKX' of (vrtaiii living nrKuniF^nit^ i>r fiin-ii, iKidcna sum! 
niiryriM^nrri, dcvvlu]) piitrcf^irtive etiangti« ; ami if thi'W* 

langiw take plare in tlH> living Ixnly there result n'rtain 

n^litiitiiinal dii^td rim nets kiioH'ii a^ iiyniptoniiitic, inltiim- 
y, or wptir fever, 

It was nli^ reriigiiiKrd that thcvr niitrelin-tive ehaii^-H in 
utlitmiiiioid ■iiilihlitmt.-M n>iiht In- nvnidi-d l>y their e\[K>tmn- 

limt, cold, or l»y drying— any of these ei>iiclition» l<eiiip 

fficii-iil Id ihwiroy or umwt the dcvchipnienl of the iiiii-n>- 
■i. 'I1if rnieriHorgiNiiMnH whieh ivt np fermenlalivo 
pntn'fuiiive etiimp'H in animal tittaneM exi'^it in i;re»i 
« 





no 



HINOR BOBQKRT. 



varii-tv, but tlitwo H-liivh nro of ititist iutem>t hi the wu^giMl 
UOiiri); ti> till' vofxi uml baciUi. 

[{•iwiibiu-liV iiivti'tiKiitiDiifi have Bliown thnt tlic iiwat 
oitiiniiin ciiiiBt- of siijijtiinitiuri jn living l)iiiii:iii li^niK' i<i n 
niiiiiilt' tfliiliiitur III it-nxi Hill!', t<i ulik-li tlic tmnii- a/ttjihi/h- 
<iO>'Y-iM pj/oi/rnes aumu Uuf Im-ti given. Tliis iioi-itH M 
ii»iin<l ill iilnni^t nil \'arielii'» uf aiiitv Mi|i|>iiR)ti<in. 

Anutlior tiiriu of uKtiu wliidi iiuiy i-xiM iilottc nr iii 
iirtiiKTtiuii wilh ihc proviuiiHlv nK-ntittiiiil Ciii^u w lti« 
alttpKfft'fCoccat jiyotfenra albu». Rotli of ihi-M' VHrii-litm of 
oiH^'i, from (III- ii};min:itf(l urmiigi-nirnt of llii- hinglt- (imvuh, 
mi- known uh -imjK' i.ia^-\, iinil liiivt' llii- (Hi-iiliiirilv o 
uui»!iig wrll-liHTilixi^l fiH-i of inlliininiiilion. 

Till" »lyr]i1ocoivu» pti'Mffnfti,a iHi'-j^'m-nilinn rliuin (-aHtii)), 
wliii-li i-\t<iiils niiwHy ulmi); tlti- lymph fimnfF' and lyni- 
pltiUi4-)>, mul by ni|ittl inlillnilion of tlu' tir«>iH« <viim« 
ft|ir(«i)iiig )!an);n-iH-, i» iiIni of •■K|MH'ial inli-ni4 In lbt< 
Hiirt^-on. 

I li'cv miiHiMtion in tirwiK-t, uiiiiin[>!ii)i<tl liy iIm- pii-ufiw 
of lidil iMlom, iff nihI iiluuys lo Itu iliiu lo tiK-aclioii of nal- 
likt' b(>diu> rallnl iHuqllJ or luu-lcrin, Kia-lt iik iIh- bariOx 
pyotffHr* ftrluhu siimI baciUtu p_^>cf/ttHe\u. 

In niHindi' llx- nviilt of minlrnt or niwlv by tlit- Mir- 
)tt^tn, w(' liiivt- |iiifH-nl ii>mlition» tno^l fitvonililc litr llii 
mtrtintf iin<l tK-velo|iiiM-iil of iIkx' otyiiniMii-', mmIi hf^ itn- 
HTiini iiiul bliMxl, iind iIk- <I<7Ii) or |nir(i.-illy rU-vilnlixiil 
it'll" of till- viirioiin tuuiKv wtiii-li iin- cxixiMti. Wf tuivi< 
pnwiit iilwi wnrnilb iiihI nxHivtnn*, anil In Um> uir vxmiinfr 
in ii>iilJii-t vrilli iIk- wound we Itiivc vomI i|iiauliticH ofdiirtl 
bulcn with ><|Hin-M, whii-li tindrr iIh-m' InvoHng iiiixlilionii 
di'vi'lop into ()ii'orpini>inH iH-fon-nicnliomil, w)iii'h nipidlv 
wt np fi-niicntnitvi- proiiwi-x known »>• dd'oiniHwiiioit, 

Tin- |ir"<lii*'U of dii" dit-oniiMiHiliiin, iiirriiil into iIm>' 
nirtitlnlum by ibc lyn)|iluiti(« iind vcitiH, M-t up IihtiI 
Rhaii|f«w in tlif >>hn]M< of inlluniMuilioii nml iit tlic miiw tinii* 
givi' riiM- lo nvMcmio diMnrlnuiiTi" whioh wi- n-<<»)nii»' im 
wplir- fi-vrr. 

MinIitii u'oitiiil Innlinctit nintf til lb<' privciilion of 
ilnf iin|Hiniiiiiti and onpiHiration, and iicvitiiii'l i'h<-« thU 



'Nffl 

ll^l 
1... ~ 




ANTI8BPTIC AQENTS. 



Ill 



m 

(I 



|Mir|)i)M> liy ItnvinR thr woiintl inr\>t nwplic, by iH.-riW-t 
!rliiirilii)i>w< iif lilt- ri-iiKiii of llu- uoiiitd, \hv ImiiiU and 



nntniuti-iiifxtf tlirMiivtiiii, iiik) I)V iM>t (^'XiHwinir liii- wound 
(It an iittn'i*>|»licn- wliidi tiititaiiiH di»>l ; id* tiK' liiltcr cuti- 
"itiuii i" diftlcidt t" iil>tuiii wf iuriin'TlH-<K'»<lnii-tiiin of tlit- 
iiii-ro-iiririini'lnH widi-li iitiiy )m- |tr<vD-iit liv lH>»t,iiH m.vii iu 
ihi' U'N< of till' iK-iiiid miiU'rv or l>y <-)ictni('»l xkrili/ulioQ, 
wliii-lt iM wcoiDjilinliitt l>y tilt- iiM' of }^>riiii(-Mltv. 



SrwiH-Ai, t't.K.\Ni,rs»j«<. 



I 

^H Siir)eio»l flmnlirnvf niuy Ih- ohliiiiHil by fnllowing pith*T 

^■lu- rurplK or tlx- tttiUifiilic niftlKNl ; t)H' Isltcr wa)i tir^t 

^^intnxlii'i'fl.niid iinMliui-ii a n-voliilioii in fi)ri;i<'ul jinu-tK^; 

l<ni lit liii- |in-H'til liiiK-, rf)i><!iity.iii<; tliiK t-vil n-^iiliF- )mvi> 

iiriM-t) firm (lit- n«' of iiiiti«-i>li<w, mid dial (iiiiullv k'""! 

^^1-^iiltfi iiuty bc' ol)taiiK'<l williout hringiii}: hiiIim-jiIk' siiIi- 

^■tannw ilim-tir in muliicl willi wouikIk, th« wei^lit nf 

^^tiiyiml opiiiioti in tlvidvtWy in favor nf tlie aM>|>t!r 

iiihIknIi 

III titf AriKiTl'- M>7rni>|i llic v^U-rilimtioti of the titdd of 
^tipiTnlion, (lir liiindi' of (lie iiiityi-oti uikI hii' iii^istiinlM, l)ii- 
^Bn^lniiiitiilf-, lipitiin^, t>|H>ii)^%, uiid Kiittinv, ir^ a('cotn|dii<li<'d 
^B>y lifiit or t(V till- use of dii'mitnl p^'niiii-idtv, nud afit-r llit» 
^^pdyin);! n|K>n ihv (v>m]ilrlrii(v« of llif Ktfrili»ition, uo aiiti- 
^^ii'|tlt(- oiiliflniKHii lire liroiiglit into iimlw-t vritli the wuimd, 
lUf MiliitioiiFi iind dn-K-iii^ <'ii)|il<mt) iK-ing only tliow 
Hhirli )uivi- Ihvii fliriliM'd l>y inoiM or dry luiit. 

tin lh<- AN'TiHtirnt- u^mmn idc «mii- mi-aii-' uml nui- 
rinU iin' i>iii|doy)il lo KtcriliM- llit- ftidd of oticrulioD, (lie 
iihIm of tilt* Mii^im nnd hif mvioliinto, lh<- inAirunii'nIrt, 
mnpv, lt){xUir(i>, i-tt-.^ Imt in luldilion tht- wonod is irrj- 
ilr«I tv^nsliintly with p-rnii'-iibil Hiliilionfi diirini; llio 
M-ralion, and il in iiAi-rwiinl iDvcnti Hiili dniMiitiri 
titi|iRviHitnl witli p-rnii<-»iliil >>iilH(ni)ixw, 



AatUoptio Agenta Bmployvd. 

A gniit viirii'ly of iip-iiiD jxjciMcwiitif; inort- or Icm tp'rtni- 
ubil |ini|M'HM-M litivi' Ihi-ii til dilTt'n'nr tinu-M iiu|)ki^t<d in 




112 



HIVOB SUROKRT. 



tlip nnulH'c of aftpplk or nntiwiilUr »iiir>teni*; llmat' 
iinpIovMl at Iho ]im«-iit liim- atv IhuiI, liii-liUirido of' 
nientin', carlxilio iM-id, iiKlotimn, iNHH-iiiigililliol, I'lilnritk- 
n( uno, |>emxide of hyiimff-ti, rrcoliii, iHTiiiiiiipuuiU' of ' 
jHitaBKiiiiii, |ivoktimtii hihI lM)ni- lU'iil, the mHibU- cymiidi' »f ' 
im-n-iirv uml /inc. ami umUil. 



Hfat. 

TIm' mtinl rcliiiltk' mid nitiviTmlly avnilAbli> auva% for 
iIh' dtwiriK-ltoii 4if |)y<>]rfni<' orfniniiiiiit w luxil, piuit-r dn' 
<»r iiioMt ; nimiy fomiit nf Inu-tcriii iinr n-iKlvm) iiH-rt »t ■ 
lciii|irnittiiir' of [ 10° ]''., mill iioih* <iiii wiltixtiiiMl the ii|i|ili< 
raliiiii ofiiiiiiHl liiitl iit u u-in]N-niliir<M>f 212° !■'. <<<iiitiniir<l 
for a sliort tiinr. Ah moiHt liiiit ii> tin' mimt Hlirk'iil 
HtoriliiHT, it should Ik- ji^'fcrnil, nml iiiii itlwnvH tx- ustlf 
iwe <if lor tliit) i>iirp<is(- liy l>(>iliti); ttu> iiiHtruuicntB ood 
dh-wiiiKs tor a f^ w iniiititos, aud If for any rmkhi it iit 
(hi»»)cht iidviMiliU- U> iiiiploy dry iK-nt uk n xterilixcr, t)n» 
tiiay Ik> iniulc uxv of Itv Ixikiii^ ilio ii)i4ninicnt« or dntw 
iiipt iti ■ liol iivni. 'ftie Minic nwiiitd. of rtiiipw, iiuiy In- 
obtiiiiMtl l>y lli«- iiM> of out- of tJM- vnrioiiM dry ur iiioiHt 
fiU'rilin-rs. 

HtniltjCIRtnR OP MF.tK-l'RV. 

Tliin IK i-m|i(<iyf<l a\i iin niiti^'jilir in y/stery snlotinn, 
VarvinK in Htn-ut;()i fiMiii 1 : -ilK) to 1 : 1(),<HM). 

'tin- milnlioti I : r,w to t : KKtU is iisnl only far the 
irrifpitiiMi iind diisinfuctioii of tlip liands and skin ; for th<- 
irnKUtioii of wrmndH, u Mtluliun of 1 : 2(>U0 is peneniJIy 
t'ni|iloyiil. In iiMiig tti4> Im-liloridf soliilion in o|x-nition» 
li]Hin ■■litl<lr>-ii, 1 nni in IIh' li:iliit of nxiii^ a Nohitioii of 
I in MMMi, nnd I find tlinl it (•nKlmi-w Ut^ irritation of tin- 
nkin iind <• tiiuiilty t-ltiriint ii> ti p-rniii-iilc. Wlicre ntn- 
liiinoii" irripition i» ki-iii up or w'livn> it if employed in 
larf^■■l>vili<f•,ll Mill Himkvr solution, I :&UUi)to] :ro,000, 
idtiinid Im- I'inployrd. 

In iixiiitc ilit-M- wilutimiH tin- ^iiiyi-oii fliniild wnlrh tli<> 
|ialii-iil iiin-fnily for Kyui|i1oiim of jtoiMinin); due to Ui«> 




BICDLURIUK or MRRCORT. 113 

Nirption of tb« bichloride of mvnniry; tlir synijitonts 
^denutiDK this an> vomitioK, (vi'ul Itrrath. KulivHtioii, iii- 
Sammaliun of the piniH. dinrrha-H, hliMxIi^tuiiiiil HU>t)lf(, 
and KKxtlint; fmni thv imxith iiml iiom-. 

In pn-i<arint; tlH> ii(ihitioni§ uf bii-hlondi- of iiK-rt-iiry lor 
ii»r, it will hn fouml mnrciiient to have a (-iiiirvnli»l4'<l 
Mtliition of tho nit in ulcxfbol, one ]uirt of tht- bi<-hluridv 
of memin' to tt^n mrts of iil(x>ho] ; thin csm Ik^ ke|>t in u 
wclI-wtonpiTol Ijottlf, und to this should Ih- sidiKil win; tt-u- 
■•|<i»nriii ofi-omnMn !^lt. which pn-vcatfi (hr ilisiiiU'i;nilii>ii 
of rile mt-nniric coni)K)nnd. (Jne ten*|>o'infnI of ihtH 
twititiou i>dd«d to uDe ((trnrt of wiOvr uuikM a 1 : IJHMJ 
Hill II lion, 

I A tvii per ivot. bichloride xulutioii tony be nwde u 
■lluwf : 
Dickloride of mercurj 2|MUi)h 
8ci«UBin chloride 1 part. 
IMInu H<4k «cU I - 
Water 10 puis. 
Bt nd^iiit water lii an apfraprbw luantiljr, 1 : 1000 or 1 : 2000 tolu- 
Uon (Ml be madc- 

()r tlie rtoliilioii may In- |)n>|Kir(il with lartiirie arid in 

_ J«- itMiHirlion of live ]uirlii of tlu' lu-id to one |Kirl of iIk" 

Iii<-hloride of m«n-iiry, the fitll«wiiitc forniiiU being vni- 

IibMwi : 
Ilrdfw^. cUor cnntMriv pt. xy. 
A«. Uitwie. gn- Ixzv. 
Aqaadw. OU 
PellrtB rontaininK n drtinitt.- amount of bh-lilomlc of 
nt^rriiry ci>ni|)itnnde<l M'ith ii few cniiiiH of eoinmoii Mill 
or mumtc of aiimioniu. whioh, wht'ii diwMtivt'il in ii d«'flnitv 
<|iuintily of Mtilor, miike ii xohiriim of 1 : HhMI or I : iiJ'JO, 
will iilwi br foiiiid ver^' (ronvtnienl for the |iTv'|Kini1ton of 
^knlntionit. 

^^ 'Thn-*' liiehloriilf vr riiiblimiil*' Kiilmioiiti nn- alM> mt- 
Ithifod to i(()>riliM' tile gniixe niul I'otton which itn- Inr^ely 
miiiloyol ill iinliN-|ilir dni^ingK. 




114 



MIXOB SCBOKBT. 



OARMiUr .VilP. 

Thio ilrug U rninU'vtil in Kaliiiioa^ nf I : *Jil or I : -UJ. 
Tbv vlninpfr wluimn. I : 'Jl>. »■ imimJIy riii|il<>yr<) to 
HUtilin- thtr in»tnniwiit«. lh«- bttb^ turiii^ nltuMi^l In 
n-niaiii in tlii* >Mi|iiti>>ii fi>r thirtv miiiitt<'« Ivfin' tii'int; 
ti-^\. A- n i-nHailii' wilnlhin of ibU ■tn-ttiith iH-itiiin)** 
iiml •■mrk^ iIk- "kill "f iIm- liaml? <>f (Hi' ■ii«-nit»r. it rIkmiIi] 
lir (liluuti jtut itclniv itu- iit<lni»wnti> sn> m|iiim], Ity 
wlding nn h|im1 quiintity of w-su-r. mnlcinf; ii m 1 : 41> 
MoliilictD. 

Tlic I : 40 wtliitioii !•■ Timtl f<>r iht- irrttr^tinii of wti)ii(l« 
ami iIh' wiu>hin^ of •jrih^"-. ('iirtailii- wid ts ii1h> <-in- 
)ilov<il ill 1)k- pn.-|«rTtti<>ii <>f ^iiizi*. A nadv lUftlKKl uf 
maiiiog a 't int <vnl. rarliolic ■■iltitiou b io lu^ uui- ublv- 
s[MKH>tiil of nirtmlM- »-trl tn ticu- t)uarl itf water. 

In tiNtii); ivrlfilic i%f\ii xoliitionx oinlimioitjly th*' !>iitiE«Hin 
tihtHtlil In' on thi- wutch fvr llic i^viii[itiiiiiH of {MtiMtniii);. 
wliii-h will »ltu«- iiulf liv iliirkHTilim-il iirim-, h(iKlii(4i<\ 
(li/.xiiHvw, vomitin);, nml in wvm- iii«* IiIihhIv ilinrrlimi, 
UM-ni(i(fl<il>iniirin. iind dnitti fmin (i>1Iii[h<-. ('iirl»>lir af'u\ 
Milulionn Hlioiilit Ik- um^iI uilli ^iit niiilioii in youit^ 
chilclmi, OM llicv mvm ti> In- mnti' *iL<«i'|i(i)ilr limn wltilttt 
lit tlif iiiiialiltiliouiil cITivtK nf liitH ()rn^. I luivi- m^-n 
llio liH- 111' ijitil'- dilute M<liilii)ri'> pniclitu- tW t4uinu-l>Tir>lir 
BynijituiiiH 'if [HiiMiHiii); in witi'li )<ntiiii(A, 

loiKintRH. 

lodnf'tnn lum Uvn idHiwn bv vx|H-rii»riilHl n«uirr4i t<i 
[HHUuit- liltio cfniiifidiil lu-tion, btit in •■\tiw uC tliin fiitt 
(-liliii':il i'ii|MTirmv liii« ))nivi'»l lluit it |ii«m'>w«'-i |Niw(Trul 
»nliH-|itli- |iri>|H-rhf-, dn<- not In rlir ilt'HtnK-ltoit «if jfrriiut, 
Uit I'l itn nmli'i^iin;; it diitiniiHifilinn in (lirir |iti.it>-iK>(>, 
uml (litio rMidi'rlnK lliv )>liiinuiiH-K uliirli linvi- rmiiltCTl 
(Witii till- KiTiii-tn^tti'tii iiirri. liidiilonn niiiv Im* rcndcri'd 
«lmitliiti'lv HtiTiU' liy HUHliinu tt in n 1 : ItHVt liti-lili>riiti' 
■tlnlinn, wliii'lt dolnivH till nii<Tr>-iiiyin)ii>in'> : it Hlimild 

■I lii'ilri(il,iind k<'[>t fur hm- in (In-clv-HrDjiia-ntl UtitliK. 



I 
I 



Cllt'ORlUE or 7.INU. 



118 



Ii>l(>(iinii IN vnn- 4>xh>ii>ti\'<-ly fmplnml n» nn it|>|)lHiiti<iii 
L^ wmitHU: il in c^jtcriiilly iitH-rul ti.* ii ilnwinf; !■> iiidi-tiil 
^B^'iiiiilx, itnil to liilK-n'ulnr »r Kvjiliililic iiIiitk. ll i< hImi 
^Knt|il<ivt«) ill till' |in'|Niniltiiti iif iiHiofortii ^iiki-, iiikI iiiity 
^B|i' mniliioiit with ivtlliHiiiiii (■• form iotln/orm t^tiMinn, 
whti'-h i» a iiwfiil •Iri'sniii;; iu HiiiKTiii-tiil uoiiiici" : 



Itdotorm 






^P An fthrrml Huliitiun of iiKlnlorni (i<M)iifi>nii grx. xv, 

^^mImt ,^) is bIh) iiMtl as an a]i|>Iiiittton tn clirimir iilivrw. 

All finulai<H\ of ioilojoitu in glvtvrin (itxlitlumi 7^, 

(rlviiTin OS) is luiich riiij>lm-cd m inc (iresenl time a» »n 

jijn-tlon ia Uw Ireatiueat of chronic or tulwn-ular 

l^lili-rly jtor^oiiA urv nioro |m>Uf to llio Inxi*- ai-liim of 
i<l<i|<iriii tliiiii voiinif porsori!'. TlK'-'t- «viii|iii>iii'< :in' nuirii- 
Hltil t>y nlii*|il>'!>stH'Ki, iWiiliry, lii-ii*lii>-lii', (l<-liriitiii, mid 
limy TvMiXx (min ntciiiiiKiliH ur niniitu- ii.-|in-v-i<.n. 



K 



BrTA-NAI'IITIIOL. 

Hti-ii.t|i|irlii>l, ill II I : 'i-MKl ••••tnti"!). th imployiil (Iir 
:iiii>'lt iIk- ■ami- jtiir|Kit4-« ii;^ iIk' lii'-lil'>ri<li- of iiitT'-iiry wilii- 
' III : it in tiot, liiiwf'Vfr, m> {towcHiil a t^crniicidc. Il Ih 
ii|ilt>viHl in irri)^tiii); lar^r raviliii^ U-cuii^ip il in nol n 
itoiHtoiiii n^-nt, Imt ii<^ n<!|Kx-iiilly iiHcliil ah a hntti fitr 
p>lniiii>'nt>', im i[ (|<m-k ivrl '-ornHK- tlicni, w^ dot-!' lli«- tiiih- 
■ ■liilion. Il iilvt |Hifsx-»tf4-x thf ailvniitji^ <ivtT ii 
,ilu' iiriti wiliition of iu>l irriliitin^ the okiu of tlio 
III'- immlK. 



4'hl>triili* »f xiiir, in b ^Miliitioii of liO Iti -lO f^iuH to 

nilcr n\j, ip« Il vi'vy \ti>vivr\'n\ iihtiM-)»lir. Wln'ii ■•iii|>I>iy<<<l 

"m[">ii ntvr HOrlnii-" it |inHlii>»-i iuiirl«il IiLiik-Iiiii;: >i(' tlir 

li-Miii-i: il itin-iMi-iully iiM.'(iil in Hotimln nlii'ti art' iiilit'tct] 

wliidt liiivi> ln>iii <'X|HM-<I li> infivlioit. I luivf liiiiiii) il 




Id tW uutaonnt wiMiniU 
ml Ualir* uhI in ii|>it< 
vitv •■r Aurfitrx- nf ibe 
aSfrvaiii ■■■liiitMi) i>r ttii- 
%ke voWM sbuulU be ilrcaacd 



T%» inm kv U«« Ummd in p MW bmcv <ln-»tk«l anti' 
«pfi4ir wyil w * tbsB tW ^Incidr «f tinci, Mid w mwdi 
Inti tmlatiQ)c. It mav br wnl n liMr ane sUnt)clli ami 

PHKUCIPK tv Hvmniuits. 

Thit diw iK«n|iki>-ni in m^hml ts kmiwn a8 tt Ift-vitliiinr 
ntntiut, wbirb mnx !■■ lUltiitU fr^mi !•> xm i^nt. ii|>wnnl 
tir UM<1 in Rill vtrnii^tli. It U nui))'!^^! in tin' t44.TtlLS 




tkin iif MiitMvi or MimxinlinK i-avitH^ Mtci\, fur ilti 
M oAm n^ili rnmi iltsfw<w iif iir ogirnttutDi* ui-m iHUti 
It wptuN li) )wv(- a Jin-rt MtidD U[>>n [HI* pin- nit ion l>y 
iltHitit)vini: tin* mi('r«>-4trKaniHn8 of i>ui>. It ix iiijoi)')) 
iatu siriitM— iit»l i«viiii9 tiv iurum of a nvrinp-, or tnnv U- 
■pfilW to (■]H-n W(mum1ii iu tb<- (i>n» ura •|iniv ; iu nitivity 
is BlinMii liv till' i^viH- I't' iMibbUfi uf air, ami it kIiouIiI * 
iMs) nr lori^ cu> tlM«M- tiHititiiic tit iwaiiv. 



Kr»ii.in ok (.'U»i|.IN. 

TIlia MdlMlnnn' is otHuimtl rrtmi KiijclUh cnul bv il 
(llMtilliilioii, iiikI has bwii fiwiHl t" iki**iw [wm-rful giTioi- 
ritbl |ihi[HTlii-'i ; it is ixm-irritutiny nml |inu-ti«illy noD- 
UtxU'. Il i' iuMiliibli- in wndr, but t'lniw an vmuUiim 
with il wliii'li jMjciKtrKxw miirkiil p*nni>-iiliil iir[ijM'rti<«. It 
\n I'mjiloy"! lor thf «iiHr jitiri"Wf. tu. nirl-xlir iwiil, aiwt 
liait llii' nilviiittiii;!' ovt-r llir bidcr <lni^ tliiit il if iH>t irri- 
Mtini; (II (III- okiii, iiml i* almofl <li'Voi<l of toxii- [ini|icrti(<H. 
it HMil in iiii iiiniLHiiiii, in Hln'iigtli Cniai two to fivi> 





PERHANOAHATB OF POTASSIltU. 



117 



|M'r rrnt.,un(I ui-tnplovnl in tito irrigation of lur)^ wtHinds 
»r <mviiiw itC thi' UmIv, ntnl lian l>ix-n mmt fnYoniblv rvc- 
otnnti'n(k-d m fjviiftxilogkvil pnulirc. As a bath for 

I in4tnimi.-iil», to rt-ml^T tliciii irtvnic during u|>i-nilioD8, it is 
uM.-fiil, but tin* o|Micity of the cDiiitfiioii luaki-ji it diffioiill 

1 1(1 find thv infttninivnt» an<l intcrlercv willi ibi (.-ftiHcDtry. 

Boric \cw. 

This (Inin lias not very ninrk<^] anliM'plio (iiialil !*■!«, luit 
i.« iiiiimtatini; cvfii in H»tunil<Hl MiliitimtH. It ii^ t'rt>i[tit'iitly 
foiiiloyed in a 5 to :K) |>er (vnl. dilution to oleaiiAe suui iti»)- 
iufect niunMifl surfiwm »n<) larp' tiiviliiv. It is ot^^n ein- 
|iloye«l to u-asl) niil the hlailder Ix-fim- llu- ii|M'raiion for ihp 
i>-iMo\-al of i^Uiit! or growths from that oi-^iii. 

In the dn^wini; of ^ii]MTli[-iat «oiiinls, or in wounds in 
M'hich the hii-Jdoridi- or iiirlxiltr lu-id dn-H.Miig!' |ir<M!iiii- irri- 

I tJition, im oinlniriit of Ixiric iM>id, ihimI^! hy tnkitig IkiHi? 

I ]w-i<) ] jnirt, viL'NdiiK- ^ |Kirt!>, trill Ix- foiiml vi-ry lUllsMdory. 



I 



B(1IH>MAIJCV1.14' I^xnOM. 

Till" lotion it |>r<-(i!irt'<l l>y nddtii}; "J |«irt(f of Kiiticylic 
■iriti Hn<] \'Z iKirtf of lH>ri<.- »ri<) t'l IINMi jKiriK of hut uutcr, 
Tbii* fonn» It wry biiind fudntion, whti-h am Ih- nMfl where 
thrrv M dnii|^r in nsin); hirhh>rid<- or <iirU>l>e eolntioiiK— 
Bjt, for inslanoo, in the hlndderur |K-riloiiiitI mvity, 

PkKMA.V<IANATK of PoTAftKII'M. 

Tltix dnifc. owing to its rapid ahMirirfion oroxye<'n,a(^t« 
ax uti niitt-ti'iitic, awl is ot^en ejii|doyitl for th« dismrrclion 
of foul wottndf and idcrrs. It is also enijiloyi-d in i^>liition 
lor wnMhintc ihr o)w'nitor'n hands, and litr the wiuihin}; of 
«|Htnffni. It is |ini''ti(idly non-irnlaling, and may U- iisnl 
in i|uiti- mnc-ntnili-d Hiliiiioiis, JHit is ii.-nidly i-iopioyiHl in 
ihr following H'hition t IVniuingiiiiHtt' id' |Nitasli .^. wa1«-r 
f!\^. i>w llnid drai'hin of this ^tlnlion to a [dni of uhIit 
niakiii a 1 : KXMl «r>ltition. 




lis MISVB STBttSBT. 



MvtIivl-TiolH. ki»>«v m wi— rrrr lin Ae nuoe of 
(wolicuuB. ka»' Swn wwjwuifiM as ■ 4n^ poneniiig 
HMTk<Nl sMHvfCK- p>.'«vcs. It t^ stil v> pRVCBl enppDn- 
IMW tn- Jwcn^vtiu: dw ^H;^iu<BKt vhirk ai* actiTe m itB 
piwlut^'a, vbiA w s&Ki n> ktvv aa afiaitr tor and an 
kilM by auliw .Wor;^ h kk» Kwb daniid that H 
(Wriliaw thif pas >.>[' <apmLRUuu; wtand} mad nkcn, and 
it is mvuMVMnl acr an Ea^-n»o m tike Ucaliauil of lane 
Mip^nuin^ vavtthv i>r t.iii< ptir^vit. a» it is practioaUy 

It k» «fU|>kn-vtt in a ^'luti'^a ofst ^trtBgA at 1 : 1000 or 
1 :3(W. aij fi.»r iW ^tt ril'.saii-.'o \A' ruipca] iBStnuMnto 
a 1 : 10,l)l,)l> gvltiiitm nay tv tcuplov^. Wben employed 
»!' a iitvnus ytf irrti:Hitiit; u>'Iiek1-. it ^kiuM be used until 
lhi> tiiwiH'^ aiv i>t'.-i .ttv[>-t>Iut I'l-Ior. Rft'vnt inmdgatioDB 
hnvo shiiwa thai it i». x-^ a >^ miickti.'. mui-b less reliaUe 
than biohhiriih' of nuTvurv, 



Aristol, whilst is a(i>ui|H>itiiii >>l'it<«iinfaiMl thrmol, poft- 
sexwi! gpmiifidal {tni|it'nics :iii<i has U-cii introduced as a 
sulntitutc for iiMli)t^riii. Ii bus (lie iwlYaiitagc over iodo- 
form nf not Ifi-in^ ]>iii^)ii<>ns mul U ulso without disagree- 
able od'ir. It may \n- t'iii{ili>yitl llir lUf sinir puTpoaeB aa 
todoform, and it j^fnis to lie iwrticiiliirly niKi'fiil as a dread- 
ing t« chronic ami tfjM-titii- iihi-rs. 

IoD<>t„ 

TliiH (Inifi |Niwic?<s)-s aiiti>H-[>tii' iinnn-rlii's ami iii vniployed 
(lir miich thr' Hiinic ]>ur|)«ncK a^ lodoCnrm and ari»tol, and 
liHH much lew ixior tlian the former; if is st>hib)e ia 
nhithitl, ether, anri oil, ami may l>e emjihivtsl in Holntion 
or iMil iiH H drv |H>w<hT. 

It M iiMtl t(>r lh(.> itatue piirjxwct) aa iodoform, and ia 




UUUULIC CTANIDI or yiSOUHT Airir ZINC. 119 

mdi <iii|>liiv<i] iLH ii ItMiit ii{»])li(iil>iiti ill infiiitiiiiuKiirviiiKl 
il<i-nii<<il •-'iiiilitioiiH of (hv niiK-oiis UK-ii)l)miif ol Uic 
■>H' Eiiiil llinuil. 



IhH'HtJt ('VANIDE UF MRRtilTltY AN1> ZlKC. 

Cv&nidciif potarifiuin. rj-anido of imTcury, und nulphalf 

" ziiK'uiv iiiixmI MKi'tliiT iu Miliiiion, in (|Miiitlitu-f< jint- 

■ ■rtifiiii^) to iIh- atritnic uciifht^i of 'Z KCv, ll);<V nm) 

KiiN'*, -f ~H,(>; tltc i-^'iiiiiiJo of ]HitiiH-iiiiii ami i-yaniil<- of 

tiH-n-iiri- Ix'iiit: ili'i^iilvi'*! tupftli<-r iri oih'uihI a lialf oiimi'H 

^^f mhUt for fvvri' IIK) );ram« nf |H>tti>i8itim <-vsiiiHk-, tin* 

^hiliK<<l Iu iIh* >iul)>l)ut«- iif x'mc tiismWeii hi (lirt-v tinit« llmt 

^■uiioiiiil iif w'litcr. TIk- |>n.Ti)>itatc to collcctccl imd wdKlkil 

^Pln two MMiTvr-ivc jHirlioiii' of n-aliT fqual in iiiiantity tn 

thai iiN*) lor iIk' «i>lii(ions t)i:it i^^ <ix oirn't-^ ol unti-r for 

■•vi-n' l(Kl [•niiii^ of the |Nitii!«inni i-vaiiiilt', to frrc thi' 

^nni-ipitali- from thf in'ilatin^ s»\ti^ ii>»«iH-tal('<l u itli it in il» 

^Htimiaiiiin. Tin- |irt^-i|iiial(* )M>iii^ well wiuJied, ii^ m-\t 

^Bnixnl nitli (listillt-d vraii>r oniitiiinin^r ••"•' p:in "f Iwiiia- 

^^Blx^ liii for ci'iT^' MM) ptirtrH of the cvniiidcMilt ; lhi»<, wlicti 

^pl fini'ipitattf- lh« < yanidc spit, ohnn^ts ilc (-oKir to a |>alc 

liluisti lint. 

Ammonia io iiext a(lik<)t in »»vh n pro]M]rlton In the 
mixliirv thai miip fliiiclriM'Jim of iIh* nmmoniaHil lii|iii(l 
H^linll i^trn-Mtomf with one gruin of ha-mntnxylin, ami the 
^HninioniiUTil niixtun- in iillowitl to ?ilari'l for thrrw or four 
^K>«ir>', wht-n it i^ tillt-ntl iiikI (hf dyitl Kilt in ilRiinol ami 
Hbriiil itl II nKMlcnitt' Ih-uI, i)" m-xt lev 1^:1 tit I, anil niuy llicn 
!»■ ki-\A for liny li'i)t;i)i of tinit- for ti<4-. Whin i (o|iloyi-<I 
[iir •■hnrKinu i;nim' it i." niixcil willi n 1 :4(KH) liii'hlonik* 
•ilittjon ill the |ini|iitrtion of fonr [tiiilH of tin.* Holntli^n to 
|IM) gniiiM of iitL> will. 




120 



MINOR aUROKRY. 



Preparation of Matoiials TTmmI in AaepUo Sureerr 
and Drflselana. 

SlH>SOEB, 

Spou)^ mnnot l>e steriliH-d In- IxHliog, which <l(f<truy» 
IIh-iii, ft" tJicy havi- tn Inr |»rcparttf by wnpliiii); ntnl \>y Itml- 
llii'itt Willi gi> I'll lit'ii 111 1 Miliitioiiu ; tlicy niv ]ir\'|iuntl as 
tollciwfl: 

S|MHi(i;(«, wliilf tiry, hIumiIiI Im- iK-iitcii ti> fnv ihviii rnnii 
(iiIitirMiim matter, tlifii iilawi'd in u 15 [wr will, wiliitwm of 
liyclnH'hluric witi for ttiirty minnU'K li> 4]iis«>lvc any liinc 
which DiiLv remain in tltL-ni ; ttit-y should llicii !>•■ rfitinv-iil 
fiMm tliih Holitiion iin<l wiutlKtl, uml olioiild iH'tl U' wrll 
wtif'liM] witli tfi-ivn iir niftili- Maii mid wHrm wiiirr fur 
u few minul«-H ami tlit-n tlionnitfhly riiincil uml pliuiil in ■ 
I : 1<AH> bicliloriilc fultition or in » 'y [kt ii-nl. mrbcilie 
solution in clusely cuvfirJ jiint until nH|iiiro(l fi'r u«. 

Or, flflcr b«^tin)f the ii|Hiiip's to remove uiiy •uimly ni*l- 
tor, ihev mav Im' pliu^ttl for tnenty-loiir hour* in a MiliittiW 
111' liydnx'hliirie aeiil — hyilmelihirii' iwiil .^iv, wtdr lour 
|)int8 — then reniovnl uiitl winshiil niilil IWv rnim iiriil, 
then Mm'ImxI for half iin hour in u Miluttun uf |H-niiiiiipinNte 
ol'[lntaM^lllIl>, IHHIin^in): loi^tx |>inlt> of wutiT. Svxi waKb 
ttirm »nd iiliuv (hem in the lollnwin^ dilution : hy|MK 
!inl|»liile III NMlitiiii, ,^x ; hydnM-hhirii- iM-id, f.V ; water, 
f.^lxviij : and ullow tlicni to n-miiiii in (Iiio Miliitiim Tnr 
tiiiir hoiin^ ; n-iiHive llii-ni rroiii tliix iiikI ]ihui- tln'iii in 
running wnler I'ur i^x hiiiin<; they nliould then Ih- jilmx-d 
in jiim and tiiventi «ilher hy a 5 pvr i«nt. cwrUilie m-id 
mhllion or It I : KXK) hichloriile wiliilioii. The (urttolii^ 
aeiil K(liiliiiti in U-lter Tor ktv|iifiK tlic Hjioiifris ihan tJic 
siihliiiuite w>liitii>ii, II" it iloex not d4'(i>ai|NiM.-. 

'Hiey imiy Ih' imjHinil iil.-n )iy iHviliiiic luid waftjting 
them, anil thin wuikin^ ihein fiir iMelve iiiMirs in a .iiilii- 
Uon of ehlurinnbil '^hLi — elihirii)iite<l mnIii 1 |iiir(, watirT 5 
rmrt*. 'Du'vun* then n-tnovrd »n<l well riiiM-d and iilanti 
in It ^ (XT i-i-iil. tiirlxilic MilnliDu, nr they innv In- [dantl 
in a ni'idenitely wunn nvoti until ihiinMi^hly dry, ami 




SILKWOBU-OUT. 



131 



ihiit |)1«eed in air'ttg:ht jan, if it m lUtgrttl lu kw>[» 
ihi'iii (Irr. 

It is )>ctt«r to im> & vlu.-u|HT gnAn of if]>oii^«^, hdi) to (tm.' 
tlii-tii iiiily ou<v, liiit if iIk' kiiiik- K[Hiit)p« iin' to W llHt) 
npiiii, tl)cv^(>til(l be wi-ll uiiMhol in iiMilnlinn iifiiirlMiiiiitc 
til' t^Klit, I <iiimv tu tht^' (jiittrt, mid llii-ii |il»«x-«l in u 1 : 1000 
bidiloride solitlion. 

Gauze I'l-KixjiTn* hb Pahs*. 

Hutlh nr |il<^l^eU of HUfilizMl ur mililitnalwl pMizv may 
fbn HMtl in thf place of s|hiii^i« Jurin); <>)ii-nitioni^, aJiil in 
|tr<-]uinu|{ i\ur f/avM yads, n jitMv ol' piiiM- iimijHiwtl »( 
Iron) -ittivn to twenty lavt'rs it* <^^t( into iiihU 'A' tlu- diKirvtl 
^'trr, anil tlit' laivnt in uicli |hiiI ntv iiniitcd li>^-tlii-r liy a 
l(-u' F>tit>-lu-H, iiiitl tiio nl^iv f^HiiiM In- Iihim-Iv whimRtl witli 
n llimul III |)rvveut tlu- ttlKt-!' rn>iii rntviiij^. Xlit-jKiuie 
fJntijHii an- tin-jiein^l t)y ciiitini; a piwc of jpinw <-<ini{KM«l 
(if ftiiiii iwi'lvfOsixli-cn layeni in piwctisix in<'lm' xiiiarp, 
tlw (Iwir tin^li-n III' thtt-c piwcs arc iIiph liniii);lii tcigcttier 
iiitil tiinl l)y a tlinml nr art- ewnrt'd tugithcr by a few 

Mtitl-lH-H. 

'rill- (nwIh nr |ilitl){(-is an> tiMiiallv cm|tli)y«t in n twml 
(iinditi'Xi and liefon- Itcina: "'*"1 Jioulil \x HtfrilixMl )iy 
lirin^ jilacMl in a I : SOOO hK-liWidc mlution nr by boiling, 
nnd nnv *-xni» of njoiKtun- iihonld !«■ MiiHx'ztil Imm thcni 
Ixtorv lwiu|£ bntiiiiht in iv>ntni-t uitb the wunntl. 



Silk. 

Silk for Mitiinw or liipitnrw, oitln'r tin- ]iliiitc<t cilk or 
the ("hiih-si' tMtnl"! --ilk, slioiild l«' itiTiliwil l>v Ixiilitif; 
for thirty miniili-b in n o [>rr ivnt. !«iltiitnii or (nrboltr 
nnd or wali-r, tlicn iilmifl in •■lop^M'n-d Utlili-h nnd (iivvrrd 
with n o ]N-r (iiit. w>liition nl' mrlmlic lu-id or with 
alwdnlf al<vihnl. 

Sii.KW'oiiMHiiT. 

Silkwiimi-jdint n nn pxtvllnil uuitiTtal liir Milnnv, awl 
it tuucb MMpr ti> tjiniid than tlw nllk nr <iit|;nt. It may 



122 



MINOR SUKOKKY. 



bv kvitt Orv ii] i^luw jar^, or |>rftu.'rv«t) in iilitihul, ami 
HhoiiUl hti |ilai'c<l in a •'> \»r <vnl. mrlxilk "iiltiiinii titr n 
(vw tuiniit*-H bcfim- iH-iiiK iim^), iih tliit* n'uil<'r» it mittv 
supple. 

('ATOt'T IjmATi:itl-> Olt .S|-T|■R^X 

In prt-piiriiifj; 111(^11 1 ti>r lif'iiUirroonmlnn')-, llxr imliiuin' 
Mit^iit of lltf h]m)[w fhiHiM Im- wiiHtufl uiti) tiMtili- Muip niKl 
ivntirr, nn<l tlicii ftxiiilfl !h> pliuttl !ii i-ltior iin<t nlluMtil w 
n-iiuiiii fur fiHir or tiw hoiiis, uml ii[hiii (tfiiij* niiKiVMl 
nlioiilil In- pliwitl in {).*> [mt ivdt. illtvliol in ii ti^lilly-«1«i|>- 

llcl<>n> Ix-in;; ii.vtl il sliitiild U- Mnktll fur u tW niiiiiili> 
in u 1 : 2U airi)uliv dultiUou. 



Juniprr OalgtU. 

Oitgiil, viirA'inK iu t\rv fnitii No. M. wliioli iii wrx (inv, 
to Nil. 4, vrhicli i» (|uiu- tliii-k, is pliwiil in nil nf juiii|M-r 
twrries for one week, :uh] i^ llicn tmnsrcrrfil hi dlinoInU' 
ftlonhol, in whii-h it trlioiiltl Ix' kqn unlil n^itiirxtl liir iim>, 

"So. I Hitgut if) the site iiHually c-niplovMi Tor lijrtliin'M 
And Hiituns. 

Almhul is \\w ix-fit inalfrial in wliicli tn pn^Tve lliv 
(ntt;n1, a« it kwy^ i( firm, ainl diw* not iiiliTli-n- with itA 
Hcxittilily, wliili- I'otli iiirlxilii' tn-id hiuI liicltluritlc »iht- 
tinno rfml«r il briltic nixl uoiik. 

Chnmie Acid Oitj/ut, 

'l*)ie <iil^ut i-H lirvt wiiuliiil in nl<ii1iiil tnxl plivi'd in I 
iiimrl iif a ■") pir ix-tit. Milnlii-ti "f <tirt((>lic anitl, itmlititiiti^ 
iVl icniiiiH of Int'lironiuk' of jHitiu^'itim, iintl tit iillowul In 
rfhiiiin fur I'orty-eiclit lionrs. Tliut inunt-niiou i^lionld Iw 
lonipT ii'Iti'U liir)ji'-«i»il viirti-tii« ul' i-;il);iit jin- ti-tinl ; liiit 
for llif fi»f of iiittfiil wliiHi iin- onlinorily iihiI, lliiti liim' 
(if tiniiirr!<ioii will |in'|Mirt' iIm- KUt lo nfittt tlic itilion of 
tlic liviiif; (tH!ii|<-s lorn wti-k or more. Cal^'iit ttniK pn*- 
|KifV(l may In- ilriitl ami plm^il in cIum-Iy slupperLiI jnni, 
or mny N' kc])t in rIiiiIhiI. 



ttRAlNAQE-TUBItS. 



123 



r^t^tt miiy iiIm> Ih- |in-|Ktr<i| liv .-iniakiii;: i> ■■> uloiliol tor 
II nlMin liitx', niitl l)it-ii |>liu-in>: it in tin- totltiwiii); soliiUnn 
(or fiiriy-i>iKlii lioiirs: ClinMiiW lu-iii, I f^n; csrlmlic 
lU'iil, 'JOi) trrnin!>; iilcohul, 'i <lni<'lirii^; water, 2) iiutic«e. 
It t- ilu-ii rcmoviil nml ntiuiil in ^Imm jars lor ui^. 

It<-riitv Itcin^ iimhI ii ■■liititM In- m>mI<>-<I lor tliirly minutcB 
ill a •> \MT iT-nl. (iirlmiii- m-iil ■^ilniion, or in iv 1 : 1000 
liirliloHiH- 'Uilntiiin. 

T)k- <-)in>nii<' iit'i'l <iitKiit im l>y fiir tlio U'M viirii-ty u( )[iit 
t<> riM' for Milling iukI lor ttic ligiiliiHi of lUc Inr^i-r veoei-lx 
ill their wiitinnitv. 



r>BAINAOK-TI'ni». 
FM.» 




KuHar •ImliiBtMuto 



ITip tIminafp'-liilM-M nMiiillyi'tn|»l(iy<ii iin- )in?iian-(l fnMn 
iIObt littiitij; of ililll-n'Ml ^i/l■?■ jii-rlonitcil »l slioft iii|(>r^ 
Fvnl*: tilt' Itliu'k ritl>UT (iilMtr :trc -^ititr iimt more |>linl»l<- 
Uinn ihv nti or while rul>U-r ttiU-fl, niHl should )h- pre- 



134 



HIKOK SITROKRT. 



ferrcd. (Fig. !K).) i >niiniip'-iii)MM< an- iilm miMlf of fclwM 
(Kig. £11), nliirli nrr HIm<le^t •■xrltioivcly iiwil in ulMltiniitial 
surgery, and hUi iif <)('(uldfi(il Imiiw. Dniiiiif^tubm 

PNlH. 




«Jlim4MA vvt 



hIiiiuIiI 1m> k<-|»i ill u h %KT m'UI. ttuliilioH i»r csrUtlM- lu'itl, 
rir, i)' k<*tit (irv, liioy slxmlil !«• wi-ll nvilhIhyI mxi |ilnit-<) [n 
» i»rl>"lii' »r birliloridc »)liiti(>ii for thirty niiiiiit<? Uifun- 
Imng iisnl. 



Hoio<K-i<Aiii AND Catuit pun Dkainauc 

CiilfTiit tw ontiimrily jtn.']i»n>tl for liKnturre may Ik- itwd 
ki M't-iin- (Iniiiin)^- in j^miill niiil ftijM'rtii-ial wniimbi; » 
aiiiiilMT of F-lruitil- -il' nttfO't nrv \>\it<\t\ in th<> bottom itf 
llur uoiiikI, iukI t)u- cix) <>r i-itiU iin- alloMi-d to [imjcvl 
from itiic (ir IkiiIi •■xtniiiitiitf of tlii- woiiml. _ 

Hon«-hiiir mny lie «-tii|>lm'r() f<>r tliv mtii*- |iiiqiuHe, n | 
iiuiuUTof oinunU (if till- liutr Mna plixitl in (lie woiiikI 
in l)i<- oiniii- iiiiiiiiirr. Id-fim' \><\m: nH'<l il xhonld U- well 
waK)i<'<l ^^'itti iiniii tiitil aiitcr uml tli4'ii Niikiil in n /> {mt 
ivni. rarlN>lii- Mtliilion or 1 : UMKJ binliloriiU- nolirlinii fur 
tliirtv miinit<w. 



Pi«rr»3(TiVE. 



I 



IV'iM'tivo It* cmployitl (•! |in-v<-iit the wn<iii<t from Maj; 
trritnlfl liy lin' luitiwiitir Mili-lumtv uith wliicli (lie pui»- 
i>« ini|m-|;nitii'<i or by it« irrtifiilar cnrliiM'. fl 

\'nriotM< iiuilrriiiU urn i'ni|iIoviiln6 prim-ctivtit, llwitriii-" 
i'i)nl nijnir«Tfni>nt U-itiK tliiit t( i» Homv tissue wliii-li <-nn 
In- n-nilily nnib'nil ii.M-)tii<-, luxl iUhi* nut ul»(>rt> niiy irri- , 
tiiliii); niittiTiitln fniiu tin- iLniyinK!^. 




RUBBBR TISSUE. 



TIk- |iniUTlJvi' finst tiugilorct) \>y Mr. I.iwtcr, wIiipIi is 
Ktill p-iUTiilly rmitliiyitl, i» |>iv[Kinfl bv ciialiti^ oilid silk 
with <iii«1 vaniMi, anil wIhii tliU un tin' a mixture of ] 
piirt ofiVxtriiM-, 2 jMrlo of iMiw-<k-n.'<l MtarL-h, iind 14! \Mrts 
iifn I :'JO<DHMili<-iti-iil <^>1ii(ion tif bnifliut i>vtT iu fiirlim>. 
KiiMnt liiwdM- iiinv Ih- cmplnyvtl wry iiatimCiieUfniy us n 

IKiilMlitiiti- lor lIiU imiUt-tu'c. 
Itt^fitn- iipjilyine tli<- |in»1ti-tivc to (tic woiiixl, it t* <ti|ijH?<l 
Uilu a wtliiltiiii of Itiotiliirkli* nl' imTciiry ur uirlxilk- iu.-m. 



MArKrNTlKiH. 



Thit (inwictj* (if i.'ottiiti dirth, with ii thin layer of Indix- 
ntliWr ipniiil oii one xide. It i« i-ni)il'.>y<-'l in imtiM^'jitii' 
()rr**>iiifrn a« n layer of divMing tnilMide of the gaim-, nnd 
nhiKild lie »|t]ili<<4l uritli ttu' nihlN-r nnrfuix- towairl tliv 
wiiiind, bi [in-veiil tin- cnlraniv of nir and Ki allow tin* 
M>rtini fmii) ili<- wonml t<> pemieate the gauze and not Mmlc 
dirii-lty tl)nHi);li the dresiiinga. 

The mwlciuliM^i elitth iri not at the prcoeiit lime as niiiHi 
ivniployi-<l as lurnicrly, unlca& themoUt nietJiotlof dnssing 
is adopted. 

Ki'HiiKK Dam. 




Tiii^ !!< thin, mm- nihlicr ti.vtiie, and iv it ItiL-i Uo cloth 
iirfiiiv like iiiueKiuli»h, it i.- eleiinetl uwl Ht'-riliu-d with 
_ ter BuHlity. It >» um-d in u)>|dyiu)f the nioiiU nii-thiKl 
nf iln^n){ In cnver tlic piiiM' dntv^inp*. iind li iiltm-Iitil to 
tlir- dniin»)rr»liilH- in iilxloniimd wound.'* to nhiit olF the 
ii)>-tiiM); of ilif dniiriiiK«-tiilM- fnini tin- HlMJoniiiiiil woiinil. 
[ti'tim- Ix-iiiL; \i.-*t\ i( nhoiihl Im- wn.->hit) vtiili mih|i iiihI 
wnliT, riiLtiil, iitxl then pliu-ol in n liichhiridi' or (iiHmUo 
■iciliition lor a x\wn time. 

llriUtKK TlhHI'K. 

'ITiii' iiiti>inli> of It very thin sheet of Indiu-nihU-r with 
Ithued Htirfiw^v, whii-li iiin Ik- olii»in<Hl from llii' nihU'r 
mnniiftMniin-m; il io em|iloye(l for the hiuiip |)nr|M)«c« m 



I'JH 



HINOR BUROKRy. 



tJio ituu'kiiilijitli. iH miH-li |[wcx|H.-i»iivisiinil, lu |*n-viiMUi]y 
Hlntol, iiuiy In.- um^O iimUiid of iiroUtrtivo for (M\lTili|t thr 
vruiiiKl. 

PaIM'UMKNT PaI'KH. 

This ii>ii!<iMlH iif II vi>r>' tiiiijzh |Hi)M-r nmiiTiiil whiHt inn 
Ih- Mitikctl in ti wnttTV <i>Iiirtoii of (^irronivt' Mitiliitiiiii- iir 
[-iirlfotir n<-i<l uilltiKil lMiv)n)ii)); so iiiitiHi f>ott(-iMil ii>i In 
tour ii|MMi liriniltiii)!. It i< |irf|iMn<<] l>v tlic iiiuriiiliM-tiini> 
»!' s<ir|:i<-iil ilritwiit^, un<l U i-iii|>)ii_V4.tl tor Ihc hhiiio jtiir- 
|)oc^» OH iiiuckiiiUK^li. 

OaI'SSK I)R»M<tK<tM. 

Till' iniiel t-iiiivtiiicnt xikI viM-niKVt tiintcrixl Tor woiintl- 
<)n-w>)iiK H H "tHt'r iiuilrriul kttowit in iIk- Inulc iif olttiiM* 
»r toluuvM clotli. Ity r(iiM>ii nt' li»viii>; h mtv ii)(cii iiMTtli 
il ulHutrltf wi'U Htlii-r tlic iimtfrJuU wiili wliieli it !« \tn- 
)Mr>i'<l or the ilirifliai);:)^ from tlit' U'oiirul wlii-ii njitilitil oh 
n ilroNiii);;, It i-Hii Ih' niulily ol>(:i)iinl anvwhcn', ik inoK- 

IM-iiiiivc, uikI is !it)n Rtiil jiliflhlr. wi lluil il if n comrorljihlt- 
iirin of dm^ii]}: to th<- [Kititnt. Th<- ^inxi* ik im|in^ 
imlfcl Mitli ilifTuntit inatnmlH to rt'tHlrr it imliM-iitif, mhI 
iu |»re|>urutioii it- n umltcr of liltk- tlillii-ulty. 



Prepar&tiOD or Ohiii« Dreaeiag. 

BlUltlX>iUIIK (iV MkRCIKV ok (.'oUK(N1VK tSCilUMATK 

Gakkk. 

Ill i>r<'[i»riiii£ l)ii-{ilori<lc or i-ormxivr mtliliiitiiii' pi»»-, 
lliiny ynnl.i of i-liiiM-4-]oth un> phuiil in ii wiL-<h-k<-tth-, 
niiil titvi-ntl u'ith Mnli-r, lo Mhirli i** iiiM<tl two iHitimU of 
wii^hint; Tflohior n |iint of lyiMiml hoihtl for iin Itoiir; (he 
mmUi or Ivi- in iul<lii| to n-iiKivc mtv oily iitiiltris ivhii'lt the 
i-hti'Mi^-li>lli (MintiiiiiH, iiiii] tItiiN tnnki- it iiton- iilHiriniil. 
Tliv fpuiT.1- in n<-\t n'nioviil from ihi' unlcr ami tvii-htil in 
rivar MutiT, iinil |mw«<i1 llinitijflt a <-lolh«t<-wrin^-r, iiimI 





crxniut or mkroi'hy and xinc 0Avr.t. 1S7 

Uwn iiiiiiK-ri)il in ii 1 : tOUO Itit-lilorkk- of mrmin- wilii- 
lion for iwi-iily-l'mir Ixmrs. It iw (lien tlricd ami iiit iiilu 
[liiit-n si-x-fral yiinlii in lL>ii|ctli, ami juivkral in t^loHclv mv- 
vrr*\ tflttM' jni>i i>r tin iutxtrf niiJ imt nwuv for iiw. Or it 
may !■■ iin-<4Tvii) an nioift );aiiM> l>y ]ui<-kiii); it in uir-ti^ltt 
jar*. It ipHiXf lui!i Ixfl) iin'iumtl (i>r ikirnc- liuv; i( !» wt-ll 
b) wnk il fur :i plmrt tiiiir in u I : HKHJ birliloriilcof tut-r- 
(tiry >ii>liition twffirp iininjr il. 

In iif^in^r tlic> Hihliniatf jtium- •>!> ilcliMttr I'kiiip' tlivn- will 
«i)m<-tin)ra n-stilt a 4U'r»i:itili>i wliidi tt^ known an nu-mirial 
■■nEram ; t))!f> in |)nr(i<'nl;irly aiH to occiir if tlu- ^niiKv is 
(imi'dcrKi) or iiivrnt) witli niblNT ti^^viu' or niiti-kint'mli. 
If tlti:' iiinilititin ilevel«|i«, tin- [xirl.- iiivoriil liy the (fiinxi^ 
f>lio(il<l U- rubtx'd over willi Ixirir iidi! ointinctit or \ax-- 
liiir ln'lorv il is rmpplit^l, or iiiiolhiT \'}iri<1y of iln-win); 
^^MV haw lit he Mimlitiitr^l, MiiJi iu> iIk- iixlofomi or <»r- 

^H lolNlpttRH (>Al'ZK. 

^^ loiliifdrn) |!nii»- iiiiiy In- |in')mn-<I l>y ^iirinkliii^ rhti-ia^ 
rloili, w)iti-)i Imp Uoii iM'ilif) in Moaiit ^>liilioii, with |Kitv- 
ilrnit iiolofonii nnil nilihiri); il wrll into il'< nii-Hlii'H; it 
ohoiihl then Ix' (|ri<-<l nml jiNckitl in ^1"^^ jo^ I'lr otv-. 

It niiiy iiImi !■■ (in'tuiriil hy riililiinK nil nnnUion of 
i^alofumi, nuii)<' liy nihlin^ :{ tlrat-hnis of iaxlofurni l<» H 
ttiiiin-H of tiMilc tUMi|>-t>inl.% into ]K ounn-.H of nioiHt ^lun-; 
tliiM fibouli) bti ilrin) iiiul ixu-kifl iti y^tiKu jura lor iim-. 

lihMtHi.K <.VANn>K np Mkiwtuv axi> 7axc (fAirXR, 

Tin* |>rt-|iiinitiou of llii^ piiin- ih niuoh ni'irc 'lillinilt 
n thai iif ihi- olfai-r viirii-tiM of tpiiiKf, Tvi|(iirinu the 
vllowintt ; 

PotMi. pruilile tsn irraliM. 

Maimrw (nunUo ttl.T " 

J^in.' Mil|.l.«lr . »«.« - 

Ifo-Kltli.tflil IJ " 

. Hal Miinx-nU l|ia* Nil, 1 (aroHit) mining 

[tlaiu* (iHVTlninly Ixiilnl nnil drird) Id nimodb 

' BMiJovw 'if muKotj wlatioD ... 7^ pink 

DiNlilWwBMr ..... T* 



128 



MINOR SUROIRr. 



Ill cliniyiii); i^iiiu' uilti llitM miiIuKniut, ](K> umiiiit itrtixi 
Hfllt iiri- iliMMilvitl ill 1 ])intr< of II 1 : lOiXI liirJilnndc tutlu- 
tjon, wliitrli will ci^'' f**"" - t" •' I"'"" "'i"- "^ ''"' fvaiiidi- 
h» tlin dry fEiiuKC. Thv c«ii»^ tihoiild Ik' (Vt'Mhly nn^puvrf 
nnd ii»"'l moi:^, or it' ullou't^ to U'ciiik- drv it nImhiM U* 
nictiiiliiiKl npiin wiUi n wuilt t>it-hli>ri(li> miIiiiIoii licffin- 
iH-itiff iiMi). The n<lviitili(if<-.i rliiiiiKil for tlii.'< ^r.t'tT.i- iin- 
tliut it i< iiiit irrilMliii); to tii<- nkiii, iiik) ili l)ic ni)li«']>lii- in 
tutt Milnltlc it i* not wik<)itil util liy tlii' diiu-lmr^'M fnttii 
the woiiml, t'n>t'. .1. Willioni While, wlm luw um<1 it 
i^xtiritHtvi'ly ill Ills {tniirtiiio, iiMtiiiil4>rs lltiit il [m n t w wiwi tle» 
eidvA iu)viintapr< ovrr llit> bicliloriilc fpHirv. 



CARHDI.IZKt) ii.\V7.V.. 

The iMrlNilizLt) piiixc wliicli iw iim^I in tlx- {.^iiivrrvttv 
HiMiiitiil iri |>n-|Kiinl ill tilt' fntlowin^ iimiiiicr : Ch«««p- 
ctulli, wliidi hfiH Ih-i-ii pri'vimiHly iHiilixl mid driiil, is 
wukMl fiir u few hours in the tullowin;; Miliition : 

KmIiI I IMMJItd. 

Aleohol .. ^ ..... G jiinu. 

Cbfloroll ttwmtm. 

CkrbalkMU] 11 - 

Tlif jpiiuc is next n-tiiov(^l Inmi this noliition iiimI ]hiiwmI 
lliruii);li « cliitliwi-wriiijpT, «ml is tbcn nit in pitx-ws fiiar 
to flix yards in length, which are foldfd und [lackMl ia 
air-tight tin boxco for ttse. 

I'VOKTAKIS, S\UC\LA-rElt, RmATED <iAUZK. 

.Mniiy othrr viirirtiiT. nl' ^iiiuc, mu-h ii» ptfikl-mhi ifiiuzr, 
milwyiatrti ifiiiiif, ■,u\t\ ttoniiM ^uzr, (■((•., iin- jin-imnil, I'lit 
HA (hey iin- <-x]Mii.4ivr iiihI iin- not im N)li>-liu'tiiry a^ llio vav 
which liiiH jiiHl Ihi'H iiu-iitioiui), tlicy iin- not iiiiirh eni- 
pliivcd. 

SAWiirnT lliti>««i'«i. 

Saw'diiH i" ltn|inyniilnl nilli n 1 : IIXMt Itiohlorido "f 
iiicrt'iir^' wiliilitin I'or twcuty-fmir lioiin>, niul thcu sjirviMl 



I1II-K0¥18KI) AKTIBBPTIC nRKSSINQS. 129 



^ 



mil t>» <In' ; after it hjw lit-<-iim<* j-iitticicntly Hrv it is i-n- 
I'liMvI ill bajitH inadei»t'<-liMt*«-<-lotli nf varimi** si««. Tliia 
will Ix- loiiml !■> !<*■ -A salL-ilat-torv sulctitiitc for the onli- 
nttr^' ^im-. In nain^c tliiri dnwuiiy; tlic uouud sliniild l>e 
(«vvrr«l with a ptpceol'pniteciive or a few layers nf ^auze, 
and till- l«pi lire then jqu-kn) over this and held in |ilaue 
l>>' a Lnnda^. 

M(Mi DltF»>lN<i. 

Diffi-n-iil t<|»(i'i<'» "f fithtu/num <ir nm*», on nciconnt of 
ihHr ■■li(s|tiu<Ni, elimtit-ilv, iiml gnat alxtorlnn^ jxiwer, 
hiivf h»«<ii fiinnd a vm- Mli:>lm-(i>rv nmlerinl with wliiHi 
111 make dn^iiifr Iwpt. 

Cli'an nuwM in Mmketl fur tw-pntv-fiNir hoiin* tn a I : KMN) 
birlihiriih-of nii-rr-nrv mjIiiMou iiihI tht-n dritt) ; chM^-H-lirtli 
Im}^ an' fillol with llii^ tDiitrrial itiid niiiv Im- ii.4«hI drv or 
tnav W niniMi-n'-'l with I : :t(NH> litdiltiri^U- siiliitioti Ix'fiiri' 
tx-inc ajiiilitil in tlw dn-HNiii); ni" w(iiind<>. 'n»i'_v are miwli 
i-m|il"vitl in (hi- lHW|>italH »l' {ierniiiny, and imvi- liitip-lj' 
nil|H-nH<)nl the (^nn- iln->v<iii^. 

Imi'Ikivihki) Antihkitic I>nr>»iiNGH. 






Id «bm of emci^ncr, when tlie onlinury Ruuxe drwn- 
iopt cannot lie i»btain«l, it h well to rvim'tnticr tluil old 
intuiliil iir linen, itr in<iM|nitii netting, whieli can imnally 
Itr iT)itutii(it, will M-TW lor II teiii[»<nirr dreirKintc if [>n>l»- 
rrly "tiriliccd, until u niori' cIuImiiiiU' dni^^'iii;; (tin fie 
a|i|>liit). Old MJut-ts, either of nui-lin or linen, Klionld lie 
im into iii<^!H iiMlfn yard Miimn-und ttiniwii into iMiiliog 
rater; after n'nminiii); for u few minutes in tliiit tl»ey 
^onld 1x7 rrnioviHJ iin<l nxilietl lor few ininiite« in u 
I : KKH) tir I : 'JiHH) liii-4ili>ride Nilniion, or u 5 |ht n-nt. 
i-nrUilir wiliiiion, and ;i|ii>li(il to (lie Monitd, u niinilM'r of 
htyen of ttiiH niiitcriiil Wutfi :i|iiiliiil niid Ixld in iKisilion 
by a liMiiiIa^*. Tliit dreiuiini; will kiTji tin- woiimf iim.-]itie 
mil a more i-hiUirale drenainK >» <>litniiH'«]. 




130 



UINUK BlTRaSKY. 



ANTtHKPTin BaNOAUBA. 

Ttiesp hambiKr*^ an- |)n^ml by trarinn or ciittinf; 
iHcbliiridp tir cnrlHilixi^l )^iize iiitu ^-t^i[H■ two ur llirrr 
im-lu?!4 in wiilcli uml tivo vunl^ in k-ii)'tli, ami Poniiiiri; ibr 
striiiH inU< riilU'rv iiix) luukiri); tliciii in uir-ii<jlit vti^'lK 

'Ibt.' IraiKlngt-ti niuy uIni Ih- |>r('])dintl rmiii iMiJlttl dn' 
giiiiKc ill Ibf HUDK- niiiim<.'r,aiul an kvul in air-liKbl U>xt« 
«r jare until reqitin'*! lor u«>, uliwi t«i«_v art- wtukM Bir a 
few miniilcs in n 1 : IlKHI bicbbiritir or 5 jht ii-nt. iTir- 
Ixilic •dilution. 

Tlicv niav uImi !«■ |iri-|iiintl fntin rriimlinr. ibo ■aimi- 
ninlcrinl wbn-ii i'' nH^il liirlli)' iiliifU'r-or-l'iirtK lKiii<lut:i-; m^ 
tbia iiutrrtul i^ i|iiil<- olilV, tJK- InnKbi)!!' obonld U- Hiak«l 
til a bicbbiridi' or ciirtxtlii- noliiticii iM-fnn' Imuiii; ii|^ili4id, 
1ID«I us die niatt-ml iiintinim ii <vr1aiii unxMini nl' 8tan-)iy 
nialu-r, it Iw-cvmH-'' firm jw it <Iri<'», iirid ii)iiki« ii very h^iw 
dritwintr. For lbip> ri'UMin it it ntKn ii|i|i1it<d over llit- 
iintiM>|i(i4' liundiig«-. 

Bk:iiu>hii>k (Vrn>N. 

Thiw innlcriHl, whii-li i>> lui ini|H)rtnnt )i»rt nf inoM onti- 
iti'|tt!<- dn»»iiip>, !■< iin-imnil by lUKtkiiiK »)»(irl<<-ni cotton 
ill a I : liMHt bicttloridc iiC HK-rr-nry Mibitioti lor lucnty- 
ItMir honn*, niid tJitii nllowin^ it to drv, Wbt-n dry, it in 
(Nlckf)! in Jnrs or mir-li^bl Inix<-s. ItA ^rrnt iilMirbin? 
|K)Wcr uitil ito «-liti-t icily iiuikf ii, w'b<-n |iro|H-rly i>r<-]iiin'>l, 
H hiokI vubinlilt' iln^-in^ ; it !> ip-mnilly ■■ni|iIoyinl to mvrr 
llti- (Tint/.f dnr^iiig, » niinilHr of liiycrs iH-iii); ;i]i|tlinl. 

ItoruKtl, i-irlioliM-d, uimI HidiryhtltHl cotton, |>n-iiiinil in 
lbi< ■■4IMK- iniinncr, iin- iiI.ho rn-(|miilly cni]i|oy<-<l fi>r u 
fimilur |itiq»i>-4-. 



MuiKf STKitirtxi;i> l>it»wiX(iH. 



Ttii'M* insy \» iin-tMinil by Mti-nniiii){ iIh- khukc dr 
or by Imilintc t1ir>ni in (vivrtrr) vi-mw'Ih. 



DRY 3TSRILIZKD PRBS3IK4I&. 



131 



Dkv HTt:itii,i/.Kt> Dit»>«>iM^ 

1ii-M- iln7«<iii||,'s iin- i)!^)^^! I>\ Mcriluii)); nnliititrt' 
mm- with nlcani. <iii(iM'i-iil into i)ni)M-rK'n|^l)if k [tlai^tl 
III win' tni^-^ ami i'\imrm-<1 Io Hii|M'r-h4-n(t«l stumi in nil ovoii 
~7>ra ri'«-ltn4irsnii() i;* lltcnilriitl ii»an<>tlKTr»v«i, n-nviVHl, 




HurtlUnfam. 

Iiitl |iliu»i! in iiir-iijrlil jiirv it Imixi>, TIiv :ut)>artil(is rc- 
luinv] li>i-lii4-iii'rJiii siiTiliiailiiiii<pr<lr<'r4iiii|:H t-ii-.v|M-iiMivv, 
oil in iHit liicHv- to )m- (•ti)|il<iml bv itracriliniii'n*, Inil im 
•*«1 III hiH)iitii)!> M'ti4>rp n lnr);i* iiiintlxT iif iln-HHiiiirs un* 
(iiixtiiiitlv riijiiim). .\ <'>iiivt-iit<'nt l'>rin of nli-rili>:ipi)E 
ivi'd t- -fiiiwii ill I'i^, !'*i. ritlif*« lilt' !i|ri'iiiz»c!<>ii in ywr- 
ri-i-i, tlx'-i- •ln*wiii|:K hIi<iiiI<) t)<>< If •■iii)il<>Mil ; itic Himif 
sifiltinl )>> iiti|iliivi<(l in l)ir Mrrilimt)»ii 'if iiLHtriiiiHiitH. 



13S 



HIHOR SUROBKY. 



Metboda Rod Draaslnsti Employed la lb« TreaUaent ot 
WoondB to Secure Aaepols. 

To prevMit iufef'tioii of wounds ihi' vanoiih i'li>-ni)ral 
tttfrilizcrs aiid [|n.>Iit^!llg8 aw tinployoii in ttillt-n'tit vay^ 
aui\ lli« iiriiicipul typi<fi of tln?»«iii^ an? as ffilltm-H : 

Method hif Simple Drying, 

TliiH niotliocl \» ranploycd in Niiall and unt ven- ()ev|> 
wonnils. Till' «I((t>M li»vin)ir Im*u lintiijcix lojcctlwr \n- 
HUliintii (Ik- Mirtiu'e of ilio mmiul U dii^tcU willi imwdiTwI 
iiMldtiiriii, die H'rtiiii and IiIoim) foniiinjc witli nib, sli it 
drit"!*, a xrnU, wliicli [mrttilt- die woimd fn>ni inf<v(ifiii from 
without, and rrjiair lakcH place pmniptly under (hii^ mvU. 
lodofonii (idlocfion muy Ijc employed insUw) of jtoHdrriil 
iodoform in lliU mHhfxl of dm«iii)i. 

Alrlhofi by Drtfing and dtemeal fUtrUuaiwn. 

Tlu- otyciri of tliU iih-iImx] nf drcwting i« to prnviiW x 
iiHtuiM of ntrnliirin); llio LIibkI or wnini w liii-li »■«■«]»«■>« fmin 
\hf u'uiitu), and at tin- nuiik- tiim- to ini<im- iIm* ntcnlinition 
of lilt- air rtiinini; iti (vmtiu-l with ttH' diitrJmri^it »f t)M> 
wotiixl. 

It M i-niployttl ill larftc or lUi-y winimlti, when* tlifrr in 
ttlituvH inure or \f>« i-Mftytt' of IiIinhI or tu-nim, niid 'at w- 
i-*iin|i)i>>hi'd liy iipjilyinK a niinilx-r of Invcrf of Hiililinmic 
or iiHlororiii giMi»- and fmhliniali^l miton over ilic wound. 
K\ii(Hinilioii not tM-in)t int<>rfi'rrd willi, llio wliolo iln^iif; 
Ui'titiKti lianlcnni, aucl the wound ie .iiirniiiiidnl \>v n Iut)^ 
anii.-w'plii' i-ni»< tnadp tip of tlic dmwing and aniiiiii or 
l>l.-). 

'Hiirt nii'tlt'xl of dnwsing is thvonv nmst |:cncnitlr i-ni- 
|»|oj-fi| lit thv prfM-iit time. 

Moui Drta»*iuj», 

In ttitH uii-iIkmI of iln-»*iinK, tlte wiiiiud w ruvi>n<d by 
iiH'int giiiin- <lnfMin|pt, uikI lltiix- nir kcjit luoist uii'd 




isirrrKCTioH op' thI^anm^ 133 

i'\'A)M<mtii>ii i» iin-\'<'iii«il liv ii{>)>lyiii(; over tlicni whim.* iiu- 
">'Utuii iiiut'-nul Mi<<)i Its iniit'kiiitDsIi ur rubber tiii»ti«. 

MotiiJUd ifoitt Drauifig. 

Ill litis iiii'tlKMl of Hn^ssiti);, llu' uouikI EtMrlf in iiivi'n-(l 
bv II IIK11.I 111" i>n>li-i'iiv>' or nil>l>«T tirwiK?; over this i.* 
uliHiil llio ftiililiiuuUil itr iixioforiu ;::iilxe (IntutiiiK hikI 
■ line liivcr» of bii-hlorkk' ciittoii. }tv ihbi iiit-tlKxl of 
mfving, lti<' Moitml itM'lf iti ke|>t in n nioii^t ooiitlitinn 
'''Givoriiij; (inrtit-iiliirlv lliv oi)ruiii/^tioii of blixxl cIoIa ; tlir 
itxUTiiiil (ln-!^iii)^ lM.tiiiii(.' ilrr lu tlie diM-liar^H whii-li 
liBVf (w»)Kil into titciu cvuiHirutf, forming iin aiiti.-<i>|>ii<- 
cm*t or L'tivcriii); uvi-r tin- uoiiml. 



Preparation for Aaoptlc Operattoa- 

DiHiNKiflTnox oy tub Hankie 

TIk- li.ttiiL- uiiil fun-uniLu of ilic •oirp^m uikI of lii.i .ir^i.-l- 

l8 (ilioiili) 1m.' Holl u^Ktl ill hot HiiltT ^illi -■'■aiii fora fi-w 

iiintJi', nixl u nnil-briiiJi tilioiild lie iimiI to i-lciiiii^e I)m> 

if|pitn of iIk- titiKiT-nailH ; riiitrs witli imyiilur siirfa4ii» 

hit-li tiiiiflit n-Uitii filth ifhniiUI In- rt'Uinvcil. After IIh> 

iiiU mill foriariiif hitvv Ui'ii lhoroii);lilv I'lciiiip^-il, llii-v 

loiilil U' iiitiiiirHil ill I : |<MK) bichloride ^^oliition f!<r ii 

hitrt tiiiii', 

I if iJic IuhkIh uihI lori'untiM, liiivin^; bn-n wiuihcH wilh 

II iiimI vnilt;r, iin* ilipiiv*! in aliwoliite alcohol for mw 

iiiiitr, 1111(1 iitin)rr>Htl in ii warm 1 ; UHJI) bichloridv aolti- 

lioti Mill MTiibU<cl with :i imil-briisll fur two or throe 

iiiiiintiv. 

A vry mtiMliii-liini' nielliiMl of ilii'iiitei-tiiii; tlio li»n<lH 
himI r<<r'-;iriiu' conoiHtn in tin^ M'riilibing them with m«[i 
uuil wnliT, tiK'ii wiuhiii); iheiii in n tNilution nf ]H.TniiUl- 
Ipiiiiitr of iNitAwiiiiti iin^imnil by atMin^ an vxnws (if lW 
«ill loi)ii>1ill<il wiitfT niilil tht'V iin-of u ilark-hniwii cobir, 
iuiil thfv mIioiiIiI next Ih- uaKlictl in u Kitiinitcd Holntioii of 
oxnlie ueid liUlil n>m|>l('U'ly iliiiilonxitl, and llie oxalic 

't 






1S4 



MINOR SDROKRy. 



acid !ili4)iil<l finulU' Im- reiiiuvc) by wiuliing in nunu 

itlcrilijUl) UllliT. 

Tile Nititc ])ri.«tiiilioiiM «)ioiiM W inkt'it widi llic handii 
nii<l fiin'iiniiH of imrKt-H wlio )iiiii<l1v iIk- in!(lniiiit*nl)< vuvl 
iln's.'iitip-. I ( ill iiiiv iiuiiiiKT llic IhidiIk of ihi- iiiirp.-<Hi or _ 
(if luH ikwrnttiDliK (limp in ounljut, iliirinf; tlio o|M*mtiii«i, ■ 
witli liny (>hjc(lK wliiclt liavi- not tui-ii ilifiiifccUil, swh lU 
till' rlotliinfi iif till' ]utlk-nl. l)ii- i)j«'nitiiif(-t(iltU', (•<4'., ii k a 
iiiiitti'i' III' till- I'lr^t iiii|H.irliiii>t' tlint lliuv Khmilil Im- llwtr- 
■ iii^lily \t'usliiil Kiiil in»iuHi-i«i iH-fiin- W-'m^ itpiiii lm>ti);lit 
iu cuiitiul with ihv wniiru). 

PltRPAnATtOS or SuiMiBON AND ASSnTANTB. 

It IS (Wimble that tlip sur^Ewn atxl his a^imtaniH sltnuld 
vivtir iwiiio lorni nf iigtron <ir ii|M.'rntii)|f-)^i\vi), l>oib fiir tbf 
[iruttvtioii uf tliv )Kiti(.'iit itiid the jii\-^'rvuli(>ii of their own 
vlulhing. The npiTBlin)t-||Ptwii lUKiuld be tua(k of miislia 
or liiieu ; a variHv of linen known ax biileher'H linen ii 
ven' anrvieeabic for tliLs iHir]MH« ; il should fit elowly 
alHHit iIk' neck and should extend to llie ankW, and 
Fihould have sleeves extending at least to llie ellKiws ; it is 
well, for ailditiiinal |iniie(-lion, to wear nnder thi^ a niblier 
u|iron estemlinjr fnnn the neek to the fwt. An ini)>roviA'd 
npron may be |>rr|Kit«l from a elenn ttltml folded eo as to 
Ih' one and a half yards in width and almnt six feet tn 
length, by tumin); in alxiut ten inches of one enti of the 
sheet over the nrnx-r iiiirt of the chcvit. and jiWinu: a strip 
of iMmdage in thir' told uiid !<tnirii)^ it nround lite n(>(;k, 
iukI by tyinK n Mrip of iKiiida)^' over the M)Kt-t at the wuisU 

The uiiraes aNnihtinv ut tlie o|)i.-nilioii should nUu wuir^ 
apromt iind jfuwiut Dtuilv of wusb-pKHls. 



&rKltIl.lZIXO OK iKNTItl'UBNTH. 

The iiLitrintieitlA slioidd he rarefidly scnibbnl with wa^ 
water and r"it\i, i-un- iM-iuK taken to see thiit iill ioinlii and 
roiitfhenitl siirriiers an- freed from any drv matter whidt 
limy iMlhen- to them ; ulb-r lM-!n)i ihorouf^tily elennaecl in 



PRgPABATlOS or I'AT[KNT. 



136 



nmanrr, itit-y Mlxmld lio ]i1uit<I in :i mctiil or iHin-rlain 
tmy niMl nivi-n-<l liv n o jht (vnt. (^irlmlir dilution titr 
filWn iiiiiitiin!! l»oriirv U-inf; ii-Ktl. 

fc'Vhv iiii4nuiicnlH itliii-h an- ituw coiitttriK-tcd with metal 
iiidltv niiiv Ik- iiliTiIin<<l by pliu-in]> thftii in boiliiijc waUt, 
- Iiy Utiliiit; llit-tii for ten niiniitit^ En a I [MTiviit. niIii- 
i>i) <tr<ttrl>iiink-<ir«iMlu: wht-n- iiirinitiieiibi niv vmiiloyitl 
wliifii liitv H'iMuIiti hunillcs this imtlKHl of F>U'ril)zii(i<>ii 
i-auiiiit lH'fiii[iloyrt], Dint ben- it will Ir- foiiiul i)«HH.-S!rury to 
niu>r( til tbf lin>t nit-tltiNl of »t('riliziiti«ii, 

liDttriiitu-iitK wbicb (itll ii|ioi) tht- Huttr or (t>i»o tii <-niilaRt 
with iIh- rloiliiiii; nl' ibt^' Mii^iin nr tlu- )Hiticnl tliiriu): tlif 
•ijH-niti<in, ■boiibt In- wtwlictl iiikI i>tH<'('<l iii ibt- mrlM'liv 

IMiltiiion U-li>n- U'liig s^in broiif^fit tii rt>iilju.-t with thv 
IvouimI. 
b 



PitKl'AKATrnN OF TlIK PaTIKNT Rllt Ol-KHATIO.V. 



Ittr inticiii linviiifc Utii |in-|niiv<l fur tlit> (tjNTiittiiii by 
rbiiti-%-iT oitHlilittionul In-nliiK-iit (lie snririiiii iniiiinidcrK 
H-ii-'Wiry, iIm' n-^ioti iiribr iiiMjHHil \4<»iiii) I- lir»t riibU-*! 
nx'cf »iib •■oM-iii siittimtiil wiib ^tgiiritM of liir|H-titinc, himI 
iii'](i is till •muchly HH.-*hc(l wilb .4ii(i|) iiiul MatiT ; if liaira 
an' (tftMiit ill iIh' nyimi iIm'^' aIukiIiI Ih< itliiivctl nfT; iiflvr 
a lain'riit HaMhirijf with .«iint> iiikI wnti-r, thf ■■(lii) U (itri'fiilly 
vnMhifl Mitb 11 1 : |<MNI l)i<-)il<>ri(lc or '} |H'r n-nr. iiirtx'tii^ 
fMiliili'iri, iitii] U iIk'II i-ovintl nilli it tOMi-l uniti); utir in » 
I : 2ll)Mi bii-bl<>riilc Miliilioii nniil ihi- siir^i'ii >» rviuW to 
(■ifi'i <h«' ii[H-nitii)it. 

ThU d<iinniM|f ol' tho nvion nt' tin- |tni|HtMi-il uhuihI in 
li<w(nlal |ini*'tiii- !» (crncniirv mmlr ii Tew htmn* iN'fiin- the 
(■(■■mliun, but in |)nviiti- ]>r:ti-ti<v it Una to lio ilonc bint 
U'fon- ilii' iijHTnlion in iinil<-rt:ikrn ; bnl if (niTlnlly ihnH- 
tit" ii-xilif will Ih' in no wiw l.-m .^ntintlti-tori-. In |iriviii<' 
|irDi-liiv (lir ojH-mlion nuiy tuivi- In L- [H-rfnnnMl ubib- th<> 
miH'nl i* in lii." Ixil, or, it' un onliimry kii<-lM'»-liibb* im nt 
hajiil, ir will U- (>innd inorc ivmvi-nii-nl to plnni- liim ii|hiii 
liii»l (hi- ■hoiild In' |>n-]uin-<l by [ilncin); nimn ir n foliliHl 
i|iiilt or bbuikvl, luxl uvitr iIilk a nlnti of nibU'r r-Joili, ant) 



136 



MINOR SCROKRT. 



auiii iliii< in Uu) a rUuii, fMlthtl, liiit-n or iiiiinlin oImiI. 
Titi- Mirirron 4m(uM mm- uitli Itim ii Auvt of tU't* nilil>rr 
floili, timi' l>y four lti-t, wliii-h 1h* Hill timl iiiml tiM-liil in 
[trf|inrttii; llii' talilr I'or ihi' i>|N-rnli>m, uriii |iriiU<i-tJi)i; tlif 
IhiI III' till' |Kiti<-iii il' )m' U ti'it )iliH-iil u[H>ii tin- l»l>li-; a 
ruli(n-r riolli nf tlii:* mm- liiki'> ii|> lillli' r>|H»ii' if niirfiilly 
ruldiil. nitil i-nn Id- t-a^'ily |Kii-kiil in the iiiittnitii('nl-lMi|i;. 

DbTAIW op as AmKITU- OrKllATIoX. 

The |iali(iil iHiii^ annvtlK-lin-i) soil ]iljit<il ii[m>ii thr 
taliK', llif i-Iotliii)}; U HI urrsii|j^-(l im In t'\|HiM' tni'ly Uir 
jBin to be out-nilttl uputi ; iht- t^'lulliiii}; or tin- i^kiu mr- 
nKiiwliii^ thiti rv};i<>n is mrxt cuvunxl willi lont'U ui-l witJi 
u 1 : UHX) ))k-hluri(li- miliitiun. If uqt (xiUM)ik-nil>lc MirGuw 
(•f the iKiticiit's txxly if' twi-nil l>y IIh-M' loni-t)', lu avoul 
i-hillin); the f^iirfuiv uiiil uildiiif; to tlK- fhtn-k wliu'll 
iiuliir.iHy fdlloH^ titc o|K-r:iliiin. tlivv rJimilil Ik- »nini; •ml 
iu a hot l<ifhli)ri(k' tir i-arUilit' toiliitioii, ami ?^h<>iil<l Ik- 
rephuiMl as thf _v Iwisime void by bo( l«Wfln (itvimn-*! in th<' 
HUtuc iiianDtT. Ttto palicnl being niwly ti)r <i|M-nitiori, the 
eiiriPHiii -thonl'l nM'ijLEn the lutsistantp niiil inirM^ their 
(Intktt, and bavin;; n^iiii iniiiicrstil thrir hitiiajn an<) fon*- 
iinD>< ill the bicbh'riib' miliilioii the <i|N'R)li>iii i^ iHijnn. 

Ihirin^ iht' ii)iemti<in the wnnii*) i^ iri'i^aie<l fnrjiHiitly 
with II I : :^HNt ur I ::{<))M) hii'liloritle Mitiiliim, uhivh Riny 
U' nllovretl t^ nin ij\tT the wmm<i,or be u[ipli<'() by imtiiih 
iifn Kvrint^'or irriuiiliiii; a|i|iflr:ilii»i ( Fig. ICi), :inil ihe baiMU 
of the ftiirgii-n and iify'^iBliiiitc -hould alHi lie wii^hed in (hit< 
wthition 111 iioi tiH> Idiig iniervtilp^ In nmlonged ii|ht- 
nlinno, or in tbiiM' in whieti ii liir):e wnniHl iti inixle, I think 
it ii>i¥(n-<-inlly ini|Hiiliint tlml iheirriifuliiij; MibilioiiKKhonld 
be tM'il iw> wunii an can be i-DinforUmlv l>>iriie by tlu* IuiimIk 
of the Mir)^)o ; wartu sululiimH, it has tM-en rihowii by 
rvfvni triviftigiition^. jiowm' h ^niiti-r genntcidBl iMiuer 
tluin thiH- i>f the Hiiinc flrengllt when UMtl ii'lil. uimI ihey 
niHi |«iwi'u till' ii>lv;u>t:i|r' "f I'lyvi'iiliMg the rhillin^ iif ihc 
(Wlirnt, ami lhii>< ■liniini'-h (he ^bix-k of the ■•{>(' nil ion. 
t If tlM< ntpHe Hifthtitl is fdlluwMl nu germieidal M>luti<Hie 




DXTAtI.8 or AK ASKPTIC OPKRATIOX. 137 



np*' H»t*l iifti-r the wniiiid hari \)cfn miiAf, ainl ihr ivoiitwl 
^j>t kriit CrtT ('r<iiii litiiiiorrhii^o liiiriiiji; the uiwratioii liy 
^blt'riltJH'd M]Niii{[ft< or piii»> j>i<i1f;o1^, or may l>c irri}niU-<l 
^Kfiiini'Hinllv liy \«-ariii !«tt'rili»Hl wnlcr. 
^P MoiiKirrfuij^i- ilnriii^ Ihf (i|M'mt!(>ii l-> txmtrullnl hy Uio 
^Hw rif lm-tii>»-tiitii- f"irry-j«, whiili an- a|>|iliixt to tho lilt-nU 
iiijr vi-st*!-!.-*. or till- vt-iwwlti niav itf lijr.ituif*! a* llifv arc 
iliviilt<<l. AftiT the •i|H<ra(i'>u hai* Im*ii iiimi)U>tP»l, and all 
liifiiiiirrliat^- haj* Ikvii (i>i]tn>lli>cl, tlie woiiml is tliomii^hlv 
riptlitl wirli a I : IJIMK) or 1 : :t<KK) bkhlnrido Miliilinii. ' 




l)fl«l((a« niqwaiua |lhil4iH'M.I 

'I'll- ti>'xi xit'p !« lo )>niVHli- fi>r ilniirui}^' ; tUU niMV ti» 
iltinviinliil ill »iii:ill or MiilH-rfii-ial woiiiid-', Itiil in a tvtiiiml 
• •('Hhyo'n-iili-nilih- »iw it <li'|>t!i il i« -sil'i-r In pros iilc I'r"' 
>l^lirul)^■. 'riii" i- iMi'<>iTij)liKliiil by tin- ti-^- ••( iiiTr>initc<l 
ni)>liiT <lniinnt!i^tiiiM')>, or n niiiulHT uri^nimlsiil miKi'l "r 
«inM'lintr, iir hv i|iii)lci(i<il iNiiti- nr iflii^ ilniimi}:i-t(ilM«. 

Tlir niltlNT hitia- iti liirp- uoiimU will L- foiiiiil ihijaI 

■ iiiir»rlnltlf 111 tlio tuili'iir Jiml wtli-tln-lnry wii nvinU 

_lniirui};<' : il init% )■•■ liiiil in itic Mniinil, tlir i-n<ln U-inu 

nlliiwnl til rxli'nd from tin- cxtrcniiliiw of tin- woiiml, or il 



188 



UIKOR SITROERT. 



may lie m inlnKlthwl tlmt ime iiiil of tlir liili(> nwl* in |>h- 
(UfjMfl i«irt of tlic u'oiiiid iiinl tin- <)tlHT oxin-inilv w 
bronchi Mill of tlic moiiikI hI itM iiiuHt ilvjN.i»ilciif |Mirfii»n ; 
in iiir^f iir irn.'|j;i)liir]y pOmix-d wmintlif ii uiimU'r nf tiilm 
iiinv Ix- ntjiiirfO t4> wviirc m-c <lr»inaet'. TIu- nnU i>(' llir 
ilniiniifU'-hilKi* im* tniii>'liM-(I witli «iH'ty-niiii!i wliirli Imvr 
Idfti jiUTili/iil iiih! iilliiwtil u> n-inniii in ii ly |kt •fiiU 
i-uHmiIk- dilution until rfi|iiir(il, inxl tin- iivU of llic liihr 
)i)niul<l lu-xl Ih- <tit iifTi-lonc III t]iL> pins «i>ii» til tMiuncvljr 
UH jMHwilile tUi-l) witli llic Kkiii. 

TIk- wiiiind i» iK-xl <-l>>wl by tlio inlTtKln<tion uf Aiilun<(S 
whii'lt miiy In- "I" MJItwinin-tinl, cluiintii-iwil. nupit, wlk, 
iWMlvcr Hire ; ihi- inifiiif niiil witiin-i" jilmniil Ix- "nikwl 
in u I) |KT nml, (iirlxiiit- wiliilinn for thirty iiiiiiii|tt> Iwfnir 
liein^ iiM-cI. TIh- wiitiml iK-in^ rliMtl, ii liniil irrif^iliim nf 
ilM (Im-iiccI jmrb' nhonUI lx> iiuuIp, liy iiijcx-ting « sirt<Hin tif 
bicliloriili- Miliilion. I : 20(H) nr I -.'.iOm, into tin* iiid of 
iIh- ilniinap'-ttiU' ; if ll)roU);li-iiii()-tlir<in^!i dniimi?- Iiilm 
IxfM cnipIoycJ, one end nf tlio liiW- kIioiiIiI \k' ■■lowtl nml 
till- Niliiliuu kIkmiIiI Ik' injii-k-<l into llic woiiml tlini<i]rli 
tlir oiIht i-im1 of ihc iiitjc liy im-tiiiH of « cyrinp' or im- 
pitin^-dilx.-, until the Moniid i^ iilif;litlv (liMt-iultil with the 
Milntioii, whioh hIIow-h the liittt-r to liml itt< wny lo nil imrtii 
lit' till' ravily of tin- niKitK). Tin- •■xtornni !>iir(inv iil the 
n-oiiHil iinil till' okiii lor tonH- ili-tiinn- Kiirmnnttin); it 
kIioiiIiI next In- HnHliiil with ii 1 : 'i<>ll(l iiirlijiiriilr Hiliilioti, 
iiml » |iii>y of jirotwtivi-, ii lilth- Iohjut ihhI uiilcr timii 
lh<' w-iiiin'l, ix iii'Xl (li|>)i''<l in n hiflilopidc or mriMiltc dilu- 
tion will [ilnivtl oviT it, hikI liver tlii^ ih liiiil llit- t\n^i 
iln-HHinir, wliirli (iiiiotHtn ofii jind of liirliloriili- fiiitixr' rniiii 
i-i^lit to ^ixlti-ii liiv'TM ill tliickiK-SH Mnd lniyi< ction^lt In 
oviTtii|i till' wound luo nr tlini' ini-tii'tt in nil dini-timis. 
Tliin --IxKild Ih- diiiiHi) inn 1 :2<MHI biflitnridi' {toliition, 
luiil Mntn^ tint iih <(r>' iih ixrviiliU' lo'lon- iH-iiiff ii]i|dinl. 
T1m> HiijK'rfiriid tpinn- dn^n^ ih iM^xt nmilini, uhI mnnixli* 
■■r Hixltx-n liivcrH of fti>ii>'-<'> nliicli should In- 1nrK<' iiiotiicit 
III cjctt'nd from tlin-r to -tx iri(-h<N U'viukI the wnitnd in nil 
di !><('< ii III" : llti-' );tiii/i- in niipliiil ilrv. t )vrr itir -iiiMTfieiiil 
f^uiiJH- drfo^iii); th<-n- in iivxl ii|i|ilii-<l u niinilHT of lityerM of 



MOIST HKTBOD OF DRKSSINO. 13!) 

lit<'lit"ri(!i- mltiin. >^i nrmnjri'il ji" to rxicml ii liltlo liovoiul 
tin- mjiiyiii of iIr- fitiK-rtii-inl piiiwilntwiiiu. Tht-^- <m*ss- 
iiip^ iiiv now ncftiriil in ixuiition liv tli<- itji|tlinili<>ii nl' i) 
piiiM- linniliit:<-, wliicli ic prcvt-nliil fnmi >li|>]iin^ liv lln* 
inmiliii-lion of n ivw Nifi-ly-iiinn. If, liowvvcr, (In- OMjilie 
nt<-lh'iil Iihh Iho-ii fullownl ii[t lo thU time, (lie dnt^iii^ of 
ill*- \v<iiin<l -'•lioiiM <'on!>i?>( in llio n|i|>liintiiin of a niimUT 
of liivf'iM of (irv or niiit.-'t sh-nli/iil ipiiixi' oowntl In* a 
ntiinltrr of Invrr* ofMiTiliM-il (iilton, tli<-.->i- i)r<v<--iiii]Tt« )it.'iiig 
Ih'M in jMMition l>y u piiix<- 1inii(tii^\ 

IiHlomnn, i-nrlHilixi.<<I or any otlii-r vnrii-tv nf mrdu'nhHl 
pniixi-, in»v Im' iimoI in ttii- pliui- of Ihi- litHilorich> fnui-o in 
thip iik'IIiimI of <1ii'Ki!ng, 

Tlx' «li>-win); Uiii^ (v>iii|>li^c<l. tin- (mtieiit is niavfll 
from iliv i>[)i'r»ring-i(tl>lr in lii.-< UtI, iiik) oan' .4ionld l>e 
i-xcrripai] to net- Unit tl)t' iln-winjfs do tiot Im^ium*' soiltx) 
if xbii |»ticDt vcHiiitA upon ooniing up from the anss- 
Ltltrtia 

111 tiiiM mrthiMl of (ImnMing no miu-kinliiAli or rtibl>er 
liwnr <)■ )-tii)i|iivti), ontfiiic of th<- .«ii|>iTl><'iiil irnii/.t' dnsti- 
int; : tiic tltN-li:irpf> fn>iii tlir vroiniil iin- iiiiw'tiiiimti'd 
tlinni^li ilir ilnwinc ;titil U-Pumi' ilry liy ovHiHinitionA, and 
j^tltr <li\7<niim fiinii- tin mitit^-|rtiv ««!» wliicli (.iiverK ami 
nirmiimli' thv wniiiul. 

Moun" MirrHon of Pubwinii. 

If, for any nnH>n, il is <K<«irMl to adopt ihv iiioii^t 

huhIkhI of drcmins, » pitx^' of muckintiift) or tiiIiIkt tiiwtR' 

lar^rr Utiiii llii- Miin-rliciiil )^iiit.i.- dn-sigiiK ih pliiitvl o\>'r il, 

111(1 ovpr lliiK Ik piH(T<l II fi-w* laycn of liirliloriik* vnltoii, 

irv lu-iii|> Uiki'i) to HI' that llti- iiiy4-n> of <-ollon ovi-rliip 

lllir iniu-kinliiT;)! nr riiKU'r ti<wMtc by ii few* in<-lK-H; ihv 
Ritplimrioti of all nntiwptji- amiri- luin<liit;i- llicn t^'oiiiplcU-K 

fxitr drt-ivinK. On tlit- rt-iuoval of tliiH Jriti^'in); tlir jjiikm' 
will Im> p-iu'rally Ibniid to Iw Riak<Hl witli ihv dixrhnrKi-K 
from llu- uiuind, and in » nioiM iimditton. Tlic diHiu)- 
riiiilJi|:>- of lliiH vurirlv of dniwini! i." tlial tlicrc i» iipl lo 

^bv cniin irritiitioii ol* tlic skin M-t ii|> by Ute l>ivlil(iri*lc 



140 



<4 s ^ dffnrnig, 



wbni «p|>lHt] in llip ntwinif 



Tlir tr~Atfmka^ t>t % vmrnl wbMi mnainH aM-|i(H- nml 
MM benwdr fur mman- (!■}->': if tlw tnn|<cnitiin- n-nuinfi 
Donnal or • tittle abn%-r thi* ■■•Int. sik] thr [aitN^it rxbiliib* 
oo onGnronUilr nwatitiRMnu ■vmpt'ini>. nml (In- <ln-)«i>iit(; 
w nuoforlakb' tp tbe patirfit, it txral nm U- ili-inriM^l (iir 
a wn-k or im lUy^ ; at the 4-x|ttT«tiaa of tlit-- lirm- it 'i» •kA\ 
ti> f.xamtw Um* o-imiikI uhI !■> mnorp tlir tlraiimif'tiil^- if 
n ilrainn^r-ttihr \u» Fni-n iiml, um] lu rrtwn'e « |>>trtu>it or 
all (if lite NutiiRv if tbc n^rfirtMl [lortK nf the wimml *tv 
fimilv hiiilnl. 

In rt-<In^«inE an iwi>(ir wmml ar rJn- rml iif a wi-ck iir 
l<^ <lav>, til pn-vrni niiv jKwiltlf iofii-iioi), an inuoh i-nrr 
Hboiiltl Im- cxi-rriMil a>t in Uir oripniil dn^ltg of tl)« 
u-'tiind. TIm* iniicntV Htiftin' iJmmiIiI Ih' n-mnx'til «• a.* tii 
fnt-ly cxiHaH' the (Irfwin^. a»il ii niltlx-r i-l"<fi !-lii>iiltl Im- 
(tliuiit itn<)i-r till- intirnl ■•> ili t<i |in>ti<i-t llti- Ik-<1, nml \\iK 
rliHliiii^ ami ckiii in tin' n-^iion nf llic nunnd kIxdiIiI N- 
linrli-t-litt bv I'lWi'N wTiiii(: <>iil in ii I : 1'<(H> li)clili>ri<|r 
H'liiliiift. Ttx' Htiiyi-Dn nliiHilil wii-^li lii^ fiamU :tnii ini- 
nMTnc tln-ni in A I : KHK) [Mchloridr m)Iution Iwltn^- n-- 
inoving tlw- ilrr-ssinjpt. Tin- Immlimi' rctainiii); the (Inwinff 
vliixili) U' itividiil with liEiiMiatri- M-i.-wki^ ami l)ic ilnfa^iu)^ 
■IkmiM Ih' n-iii<iviil lavrr liv l«vcr, nml H"Iu-n tin* (Iwp 
■ In-wiui' i- n-riioviil cure Rtxitild !«■ tak<-n lo mv (tint tin* 
•lrninii[c<-lit)'n> iin- m>t jmlbt! ii)Hin irtlicr iin' inlliiTi-iil lo 
III'' lirfM-inu; llir ])nit<i-tivi.'' KhonM wxl U' r<iii»v«il. and 
tin- -iirfiMv 111' iIk- M'lHitHl i^Miulil In- irrij.nilwl with n I : 'JlKKl 
liHiliin<li- Milntinn ; tin' ([niituit^MiilMf ilnMild m-vl. Im' in- 
-l-iteMl ti. Ht.- Ilmt tlmy iin- i'vtv. jiikI u Mr.iim iif liirlil..riilc 
Hiliilioii may !■• iiiLiiMil tlir<>ii(;)i ilicm liy nicitn" ol' a 
■yrinip'. If tin- uminil is* fiitiml UM'|>ti<- tin- (lroiiui);i-till>c 
ituiy U' riiii.iv.-«|. nml tin- Himml hIxmiIcI nrxt U- tiripdnl 
llir<>nt(li iif Inii'k liy a xlnwin iif'liirlilnriili- *>liili(.ii, or llir 
itTl)ta(i<in ■■rtlu'ilmiimfn^UilN'KorKl'llicninitMttlol) liv tlit-ir 



RKAPPLIOATION Of DRESSlKaS. 



141 



n-movnl may Ix-oaittltil. Ifllip woiimi is hoiilwltlw* sutures 
nuiv lir n-i>i>>vf<l at lliUiln'SHiiiif ; but ifllie wntin<) Iiiis been 
MI) t'Vii-n^i voir ilivfi 11)11' it utay lie well iiir(-m<»vi'oiilya|Mir- 
tiiiii of iIk' Milling; if'iiiiiaial -iiitiircti Imve licien cmpIuyM, 
tltfv uRtI iHtt Im- lVIll'>v<^d. Tho cnirGiiv of lh« WMim) in 
next wiv*h«l with a I : 'JMXl bicliWiclr Hnhltmn and a iiiocp 
iif jininilivi- U iitaii'<l ovt-r the lin*- of im-iHion, ami the 
(ln-|i itn<l sii|>irfl'-ial ilw^v.injp* an' applini :l- |>n'vi<iiicly 
lii-tiTilH-d tun! (■ov.-ri'fi « ilb Iav<T>. ()!' biihloriilc itHhni. iiixl 
tbf whole dn-xciittc is ■iiHiirf'<l liv dw'ajiplit'aliniiiif an anti- 
M-|ilii' liaii<la)if. ir the wnumi miiain.a a^'ptiv alVr lliiH 
iln-sHiiij;, tltp cln«!<iiip< nwd in>t be t-hanKfd Cur a wwk «>r 
tfti tiavs. and at tbis tiim- tbo wniind will iiMially Ih- found 
bt-ab-d, r.1 that ftirlh*T ilrtHininirs arp ant nviuinil. 

If, b<iwi'vt>r, the woiiml \t> not riiniiiii}> tbr Ivgni-id 

iiir^' ■if au nATpti*' wiuiiid, const itiiiional svnijiloiii?' will 

di-vt'Iit{M<il, as evi<ti'n<*tl by a ris«? in tbt^ t«'iiij>cmiurp 

nd |>ul«--mti- iiitil otbor <iiiiMiliitioniil «li.ilurluuKi's. In 

li* fvi-til Utt' wound ^binild Im' rc-iircHsitt a» wxiu nn |)tKt» 

'tiibli-. and if tb<- itiiim' nf ibt- <l)!i|uH>nii<v' n\u l<r lirtuxl it 

Ipboiild U- n-tuoviit : fur iiistanif, ll<'tllo^rhH|^■ tiiity Iiiiva' 
Inkci) ptniv into ih<- ivoiiihI, and iho bhoMl not Wintf able 
f 



I 
Kill) 

^«ib 



■taiiiH' throii^b till- draiDajrc-tiitx's nuiy have luiMtl mi 
urh dtNtcntioii of the wound that thi* vitatitv of tin' skin 



ivtTtu)i; (111- wound !.« ihrcal'-uttl, or the suliim< nmy 1m< 
f<>un<) to 1m- niufting irrilAliiin, or siip|Hinttion may Im? 
found III Ih< pnwul. 

If, on I'xiHxnn- of lh<- wihiihI, it is fomul that it 18 di»- 
(•fiiliil willi lilooil-fbitn, and iibxx] is i-M-iipintt from I)m' 
wound, tlw ■'Ulun-M xbonhl W n-niiiv(il, tlu- doin sbnuhl Im' 
lunMtl mil, and the bbiilin^ wi>m-\ or vi-sm-U shoubl l>i< 
Minirhl for and lipilurrd.and ihc wiitiud.aOtr a lbiin<U)fh 
irriunlion with 1 : 2IHH) tiii-lilnndf ^>ltitioii, Khoiild Im 
dmini^l and vhiMtl with i«tilur(««, and dn^Mtl as pn-viouiily 
diiM-rilMil. 

■• If, hiiuwcr, un (•x|i'iMin> of the uoiiiid, and u|Hit) the 
movnl n( a |»rtion ur all of iIk' suliin-s, ilir uoinid is 
lum) diAti-ndnl with n bbuMl^'lol, lutd no <-vi'h-n<v of 
irnidrrliatp' nl tin- lin)i! i-xintM, ur ut Hiippiimli<in in IIh' 

7" 



Ui 



HINOR 8I;B0KRV. 



woiii»d. ttiv oliri aaty Im- allttwi-d to ix-nuiin In iiliKv, Bin] 
titr wiiiinil »1kiiiI<1 W- nxlrv^wi) nr> in tbi* nripiuJ <ln*#iii|i;, 
iniiaiDK t»> llic orvaiiiKilion "f tlti- IiliNnI-clitr if it luw n- 
miiim-'j iu*i>li<'. If the (uiticnr* "UMlilimi iiiiiiPiivt-» iiftrr 
tlti- <lr>*»iinK, uud thv It-mjurntiin- :iii<i jmU-mti* Imikmr 
normal, il i-^ an indimticn t)uil tlic w>uimI v nlilt iiMfilir^ 
and it nrwl nut Ik- n--<ln!f'f<il f<ir hmih* tlav^. 

If, on tliv oilier liami, examinMiiin of iJtc- wtxiiMl kIhiwm 
llt:tl till- ilraiiiii;*!' ih iuMifKciciit, or tluil rln- ilniiiiii)p'-liilini 
tin' iHi'liKlitl l>v MiMMl-t-lKl*, tliix- h)iii(i|i) Ih' ri'iiiitvt-<l lir 
UDAliiiti; out tilt' (iiImv witli a 1 : 2lNMl liii'liti>ri<l<' ■"•liilitMi 
l>v miTUip^ uf II F'yrinp^', ami inln^ltn-iii): ii(lilitii>iiiil ilniin- 
np^^-liilNit, if it IH (IcvdimI HMTmnrv ; the wotinil >ilioiil(t 
Iniii Iw rc-tlrvmnl. 

W'Uvn it i« fuiinil nu i-xjiininiition <if tlip vroiind thai 
S(i|>i>iirntii>n iii [•rt-si-nl, the Miiy"" «iii»y rt'l"|"l <'tn- "f twn 
iiH'IniHin of (mitiueiil : lit' niav thunxi^flilv M'lL■^ll out lti<- 
wound tliroiifjii iIk- dniinii;;\-tiilHv wiili ii 1 : ^(HH> liiHilit- 
ride Miliilinn, uimI uIUt tIion>iif;ti irrit^lion nf tlti* vniund 
re-drww it, nnd, if tlii< intii'iit'i!' (tuLKiiiiitintuii itvt]i|)UHiw 
impnivt', 1)0 inuv Im' iiMim-d that llif nutind tinit (m-n rrn* 
dt-R-il HM'nlii\ iind if riiiinin); an awplir <imm-. 

If \if i\<itv not Iw-I tlijit this im-thfxl of in-iitiiiint in 
MifRfit-nl, hi' iniiv oihii the woniid iind \vit«h it tlioron^fhly 
with II I ; :*<Hlli hictiliiriilr Miliition, mid iicxl ii|>j>ly t<i itx 
niirfniv u iri-volitiiii- Hiliilinn of ilu' (icnixidc of liydn>|i!<-n, 
H'hioh nijiv U- (liliiltxl with niiti-r oii<>-lliinl or oniixhiilf, tir 
a ;Wl-^miii Miliitioii of chloriih' of xiiic amy Ih> UM'd; iiiid 
■fiiT t)ii> njiiilimtioti II liiiiil irripilioii uith iIh- I : 2(KM) 
hirltloridi' Miliilioii shiill Ih< iiiixlt:, itnil il nhmilil ihcii )h- 
dminiil. i-lumtl, and dn-!<?M-«l, tts prfviiMLilv ilf!«'riti''<l. 

If thi- (n'litmriil iiMiiltili'il to irndtr iIm- uoiiihI iiAejitic 
tiiw Invh MKii-wfiil, iIh' [MitiiiilV oonsiiintiomd iimdiliun 
will iiiitmiw, luid it will hral iih an iM-jiiif wound. 



DBKS8IH0 or sirric wounds. 



143 



IK 



K 



Dit»>«iiNr. OP .Septic WouNns. 

tt iiOpo hii|>|M.iif thilt piiiicnih ^iiir<TiTi)>: from woiiihIs 
M'liich luivc bcrn iiiit)ro|ierlv trvntttl, or \\n\<s had no Intit- 
mi-iil, oiriie iiinlcr ln« raw of lljp siirywiu ; Midi w<iiitHl.t 
an- ulnwly in(«x-tp»l, ami to render them awptir. il" |Hu«.i- 
bl«', iIh* ni|)iiwin>c trMtmeiit tiliuiihl In- a«lotk(t>(l : Tlir nliiii 
FdirniMiuliHt; tlic wmiiid tdiiiiild Iw {uri'fully wn.-'h<''l uitli 
■pirii* itl' III r) no I inc. iin<l thru with wuiii :imt uat<-r, iiikI 
tiiinlly with ii 1 : !^(KH) l>ii-til'iri<le -viliition. The niiiiri<) 
ilH'ir vhi'iiM Ik' next i'X)>i>i^l ii^ liilly hik jMv^^ihle, noil hiiv 
Ton-i);!! bixlii'?' wrhirh un- tniiml in It, or dirt, Klimild l>e 
ntiKAi'il witli foni'jv uikI ii Kirvuiii nf wnti-r; it should 
next In.- thoniiighly irri)?i((^l witli » I : 2<HNt hichloridf 
eoliiti'iti, iiml then ftioiili) U- dniiiinl, oIuniI, mid drei'ticd 

all <>)H'nition woiiiid. 

ir F'liMHiraliiiii i)> ain-uily prcH'iit, iiOi-r vlttiniciuK (he 
rcviitii of the wound It elwnid l»f irriKUtiti with a 1 : :i()00 
hiehliiride Miluiion, iind should next be uaiJinl with a iV)- 
ftmin tvdiition of chloride of Kino, or a 15-volnnie tudiilion 
of the |M-roxide of liydro|Ceti diluteil with vtiiler oixvlinlf, 
otii-tliini, nr iiMil in it» tiill sln'n-^th i and liituMy ihor- 
oiii;hl\ irrijpiled with a 1 : HM) liirhloride •ioliition. 

The inir^xlm-tion of drainat^--tiilK> nml f^iitiirei will 
ir|i<-ntl ti|)iHi the ehanii-itT of ihv wound. Siitiin^ tiiiinot 
ften Ite uwd nHth advimlui^ if niiH'li nrtraclioii of the 
ekin has iMviirred. and a drainn)^--tiitNf ifi iu>t re(|tiire<) if 
ihi' wound i?^ left onen. A j>ie«v of |in.>lwtive 'm nest ap- 
jdii^l ovi-r the Mirlaiv of the wound, and the deep ^^.iiixi.- 
dn-Mfiinj; wriiii); out in li I : 2(XH) Imhtoridi- Fudiilion, is 
niiplied owr thif, and llie ftiiM-Tlinnl piiiM- cln-K^'inj; iiiii] 
Iwhloriik- u>lt(>n iirv lu-xl ii)i|ilie<l and wt'iintl W a Uin- 




nfetird wound* wldi-h are Irmtefl in Ihi^ manmr will 
(Hen Ih- n-fMh-n-<l iM-)>lii', and in their -iilvi<i|iK'nl (iHirsi' 
will Im' |H'rl<iily witittfartort', Itotli to the [mlient anil lo 
till- Kurjpim. 




144 



m.VOR SUKOXRV. 



MAtAi-iols U»od la SarsfcK) Drn— tng»— GmiinufM. 

Lint. 

Tliifs iiiutfrinl IK ttiiplovrd in KUi^iml ilnwitii)^, iitui i* 
of Iw'ii varU-ttiv : (Ik- 'l>itiu«ti<' lint, nliich iimi'ti'ti! tiC piuM 
of old liiK-ii or mtivlin whi^-ti hav>^' Invii tlionoj^tilv wa»lMN] 
or Ixiilifl iiikI tlu'ii (Imtl, or iIk- ■oiiyiml lint whirli u 
niiiiiiirw-tiinil liv uuu-liiiMTV, ctiiil nix-iiilili-^ (_'iiiitoi) lliiiitirl 
ill ii))|ii-nniniv ; llic lutUT ii^ the lnvt ninliTijil, jw it linii n 
|{i\iitcr iibMirbiiig; is]uu-it)'. 

liitit ift uiwal as ii nuitrriitl on whivh uiKtiitKii' jiniwm- 
tioHH iin^ »|)rui(l in tiw ilm^iii^ of uoiiixU, tuiJ in iiIni 
tinplotxfj 110 II iiuitcntil for rutnnitin^ with thv vnrioiif 
Miliitionx wlii<-li iin- u*v*\ iit wi-t <lrtw^ii;;r^, mucIi ip> I<iu]- 
VTHlt-r ami liiii<)iiiiiini, or ttiliiti- silmliol ; ilif lint, iidrr 
U-ing wituralol wnlti tlit-w dilutions iv <'»vt-ml HJtli rtil»< 
)m.t ti««iip or oiktl filk ultui ji|ii>li(tl, to |>rt-v<.iit I>ni ni|>i(l 
c!Vii|M>nition of llic •mliitioii, ll m aim »w of the \mM 
iimtfriuU from wliii-h to iimr'triK-t ititn|ir<'<4i<'K 4-in|iI<>y(tl 
in lt)o lii-:tiiiu^nl of frarturra, to nmlrol m-tii<>rr)ui^-, or to 
miikf |tn>iAiiri' for any |>urpoM>. 

I'aarr-/inl, mailv from old raes or wood |>iil[i, liiw grvaX 
iitjMiroin^ ]M)u-«r for fliiid^, and niuy W uHii im n sitltnti- 
tntr for >iiiiyinil liiK in the ajiplintion of wrt dnveiiiir* to 
siirfniT" when iIh- sliin is imnroki-n. 



Oaki;m. 

Thwt ituit'-riiil, mini*' fmm old liirrwl ro|»c, was fonniTly 
iniu-h ctniiloviHl in t)M'dn>sMiit;of n-oniKlH U'fon-llii'intnf 
diHiioii of itif niiliHi-jtti*- ini>llH>i| of wouiHl-tnutttifiit ; It 
waM nnpiHHiHl to |HiMHwt Mtnio iintiM'|>tir |>r»)MTtiiTi4 <lw to 
till' tnr Mitlt tvliicli !i wan itii|>r<%iiiil>-i1. Krom its flii»- 
lit-ity It i» found to !■■ iiii >-xci'lli'nt innKriiil fur (KHldiiift 
t<|tliiil.t or ollii-r Miiririiid n|i[)liiiii<iw, |l i?< iil.to i'ni|>loy4il 
ill llir liirni of imiIh in [iliKi' nmli-r luitimi.t |o nOirvi- |>or> 
lioiiH of tlio IhmIv from pn^v-iim, or to aIhuitIi iliM<luir]r<«> 
wliii'ti r*mk llmiii^li till' dn-MuiigA. A niMW of iMikiiin 



ABSOBBBtfT COTTON. 



145 



rliirh luua Im-<ii wt>ll t<-iix<(] out and U'n>]>|x><l !i) n towel 
E>rn)>' nti i-xivlk-tit pillow on wlik-h to Mipport a aiiini|>. 
TUv oiihtm Mion in lii^lily rcaimiiicinl"! liy Dr. iSivrp as* 
. ntrnii)^ of iiiiikiu); ii ilim-t iimtlicaiioii of oiiitnientfl to 
|innM« »r boiM- ; t)M- •■iikiini in lixt^ely twu)litl into a cotd 
jiii ciivvnil with uiiy ointnit-tit dniin^t ami U passccl 
ltii»iiKli iIk- stiiiiMw ill tlie lM)m- : the [MMiitioii of tlie si-loii 
if^ ftiimp-'l froiii litm- to ciiiii', fn-A oiutiiioiit Ix-iiit; :i{i|tlif<l 
tN'fon- !l in rlniwii tl)n>«)f;li ; nv\n <vitiU' iu a lavoritc- 
u|>|ilit^ilioii to ihtM.- eiiniiK« miiale in tbix iDaiiiKT. 



I 



C<lTTO-N. 

Colloti iKDnwciiiiiloxitl in •^iii^ii^il itrc.-winpi |>rini'i|inlly 

II miilL-riiil Id [Kill <^|>liiite <>r to rt-lievi- miIk-iiI iitirtt^ of 

Oil- I'kvMoii fnMii [inwun.- in the anptimlion of ttplinta or 

~ iitidt^-v; for ini^in<<p, in the applu-sliuii of xhv pLu<lrr- 

_M-l'ari* liciniljiirwi, tin- Imiiy proniimiKi-s an- Kt-iwrally 

'ii.wml liy ^niall iiuuwira of tiitton ; it po oocanco tml littlV 

uliM-rUnt jMiutT nnlcHs nwtl iri the form of aboorlM-nt nit' 

toii,tin<l i'' not nindi cmployol in ^iir):iral (lr»«ingsfXt<ppt 

'n tiK |inrput>(% tufiitioiittl uImivu. 

An*"lllllKNT OOTTOS. 

Tliif) ntatpriat 'v^ prciKirctl froni oniinnry cotton, wliii'li 
iNtiliil with a Ktn>ii); alkali to iviuove tlie oily ituiUir 
I'liich il coiitains. When w prppnrwl it aliwrtw litpiidM 
wly, mill hy n'ason of Iih jin-al uliHirhiii^ ra|iiii'ily il ik 
irp'ly <'iiipli>ytil in stirjfiifll drtK^in^. A liiiiiill loiipv of 
hliNtrlH-iii 11'ttoii wiiiii|Mi) ii|Min ihi' t'nil of a prolx* or Mi<'k 
if now );i-iM'Ril)y (niploy(il to make applitnlioiH to uoiiniU, 
:iil hoH takt^'n iht.- plan' ofllir HiMingi- or linisli whirli was 
mifrly cniphiytil for llii» |>iirp<i!«o. l-'rt>in ilt« ('jMii|>n<v«<, 
n>-r imc applif^ition it can lie thrown nivay ami a ww 
|iMTf (3in ln' nw-tl, and llui.- tin- «l:iiiK*'r "' •■anyinj; infif- 
'oii fnini onr Hoiiml to aiiollii-r hy tlu- appli'iiror i>> iiIhiI- 
hiil. Il ift hir)r>'ly <'IH|i1ovmI in gyni'mliij'iiiil pnu-iiii- 
fur niakint; apjilimtion!* to On* fi-ninic p-nilal orjnuiH. 
It in iuipri'^nnU-tl with viirioiH itntiHt-plic imlMiinicm, 



K 



11« 



mVOU SDROIRT. 



> sad HKlinlK- tfiil, KDt) «-Ih-» llniji truitcd, romif the 
hieUariJf, nirAo/bri/, banttetl. am] nnlirylalf^l colUm mi niiH-li 
■i^loynl in aotuvpbc dnMU^ 

JPTB. 

Tbis wlv^aif-r h ntw)*- frmi llie fil-rv nf llw tfaroftotiK 
napwi fafv . «lii>-h, on iMntiiiii itl' ili* i-lianu-ler t>(" >Lt filin*, 

|<n n sti » c -i Unli rtoBtioitv and ahaoriiiii^ <[iialitim; il Iisa 
■^ru i-ui(>k>vi<il l>>r mtu'D ilxr fotup p(iqM»it« as nakuiu aiHU 
(>>ttt>ii. !-iii-h as ihr |Nii)tltn(c iif s|iltntf, «ml ii' also iiwH ad 
HU f.xlrrual alcMiHiii^ dnaung. ■ 

Wuon W<ii)L. ^1 

WixhI wi"'l inailf ffiim wimmI |>uI|). siicli as in ciiiiilovrS 
ill tlH- iiuiiiiira'iun- of [iii|ii-r, U aim ritmi.thf^ in tlic nlui|)d 
(»f litit, ^[HtuKV!!, mhI )ia>Ls niM) timy W iiscd for th<- witc 
|»iiqN)<Mv itn tltt.* iitxliitar}' eui^iuU liuL — 

Oiixn Siijc ■>« MmuN. 

Thmi' ninU-rial» an- ntijdrtycd in* aii cxUTiml ii>v»t (iir 
iiwiu't •in-^inpt to jm-vnil ni|>i<I »'vn|K>nitiiin rtmii l(n' 
iln-wiiup" ; tlicy Hinii ruivIK-liI ninli-riiiU lor tlii- ixiqMiM'jJ 
l>iil an (licy nrv ijliiU' ('X|H'n>-iw tin ir tux- t^ UiiiiliiJ. I 

WaXRII ijR PAitAPriX pArRR. % 

Thin flniwiiiii is ]irv(Nin'<l liv imwiiit; HliftHf* »f lieMH.'-J 
IMjMT lliroiiiili itK-IiJil mix or |iiir»n>it, am) lh<-n Nlliiwitia 
llti-iii III ilry I'tr ii l«-w iii!niit(7>. I'iiimt tliiin tn'uti'd fonitd' 
All i'xiit'll<'iii iind Whiij) Milwtitiiif f(>r iiiliil oilk or nirn-lii), 
anil limy U' i-tii|il<>yiit lor llit- mnic iMiqMMc for wliicli thu 
Ifltttr iiiala'riiil* iid' ii«t-<l. I 

KriHtKIC TiNM'B. 1 

R Tliia niali-rial, wliivli in |irf|uin'<l liv nililinr maiitilai<- 
Bhb, tiiiiNiKto or niMx-r run nut iuto vvr^' thiu nIhwIsJ 



TAUFOK. 



147 



It liiu* x |;liuiil mirfiuv, in very pliiibli' bikI i>1r>iii)i iit tW 
!)•■ liiiw. mill C'lnii^ it I'liviip nix) i<iili-sfiti-tnrv Hiilnlittili' 



fiir ••il">) vilk.iiitil 



il<fV<i] for l)ii 



h 



■ •(I'll vilK.iiitil In i-tiiji]<fV<ii icir iiir Hiinic |iiir|>iin 
till- oiiitftl minliiN) 111' miliN-|>(ii- dn.'M'iit}; it innv Ih- ii7«tl ill 
plan or l]i»- RwkiiittHli, iiihI indittl I [nvfvr it lo tlio 
IntUv tu Uitfl iiimIkkI nrtinwiiiK. 



w 



I'awiimf.xt I'.vpkh. 



niit^ [i3|xT i^ j)^'!!!!!^"! s") ttn 111 n-mliT it watcr-iniHii'; it 

I in i-iiipliivti) in >iir):ir-.il ilrifv^iiigK Tur tlitf miiiii* jiiir|HiM.'K ae 
'OiM Kil^ ami nilittcr (iwiit!. 
II ti 



C<>lirKB«IB4. 



C'(ini|miiH» art- [>n-|iart>d liv fuliling piec^iw nf lint, miislin, 
lltKii, "f flAniK-I ii|Miii thpm!«elv»i, so an to form firm luanips 

I of vumlilc nmv : iinkiiiii or mtlon mnr hIni Ih- iL>«d to 
^iinii itmijin-WM'H. ( 'i>ii){tn-!VHii aiv ofii|iI<>v»I tn niaki* 
bn^vim* I'Vi-r |iH^liiu<<) |M>iiiiiiks of tin- UxK, a» in llir 
trtiilniriit of frai'l<inT>, or tn iiuko [trtriwiire njMn v«e)el9 
t — 



Tauihw. 



A tmii|Hin lia II fiinn of coDtimitt whirli U rmplumi in 

ivitifw l'> miikc |in^wiin>, to mmtrol ln'morrIm(»c, or to 

H|i)ily viirimu' itioiliciiHii to tin- -iirfim' of lln- (iivitv. 






1 tini|K>iii< tiNil to iiiiilrol iK-tiiorHiii^c iiri' p-ni-rallv iiuiiV 
f nlnj)f« of bii'liloriili* or i'Hioform ptiiw- or of ])l(«t)^-tH of 
ik^loriilf oittoii. In ii|>|ilvii)): tltn«>, lli<- Ktnjw or ootton 
|iiM-kMl inii> itu- (itvily. iiikI vchvu |Ih> tiivity i:^ full n 
tiititn^w !> a])]ilii'4l Kii]M'r>ici:illy nuil itclil in plntv liy il 

ixliip'. Tlti' iippliiiiti if II t.iiu|K>ii ('> iIm- vo^iiiii if n 

vorilr iitiiiioil ot oontrollini; iili'rini- li<itiorr)iiip>, 
\ tffyrrrin frlin^Mii, iiiiuli' )iy |HitinU); liiilf iin oiUKV of 
i;Iv(vrin on n |itii<(' of i-nttim or uonl.iinrl ttu-n Uirniii); <iii 
V'i-ihU iitit) Miiirin); thi-in liy n itriii^, one cikI of \\lti(')i in 
lowM bi mtutin lon^ lo Imnii; from tti*' vii^imi In titrilitntt* 
In rvnirivnl ; It in n Invoritc ti))|>lintiim to tltc t» uti-ri. 



rLASTERS. 



149 



tlir wmii' w-ny, cxfvpt ihat iIk- miiKlin !" "lit twice ni.-itriul 
■■t'liniY'. (Ki-;. W.) Kclnwlon' an- iiwd (o n-tnul iIk" witl 
|«irtM ill iititptituliitn, to jiri'vcnl tlii-ir injury \>y Uir> mw in 
the ilivioioii of lliv iHiiirv. When mw Ihmh- is iwwi'*! a twin 
tailMl n-inu-toi- ii!i il-"-"!, himI wIkii two Ibhhw iirc wiwi-d ii 
■■bn-i'-'lailMl rctRK-Uir in fni|t)uy<Hl. 



Pl.A8TeiB. 



I li^ ol 
w 



The vnrioti<« of (ilinsler whli'ii an- utin^t commonly cm- 
»liiy<^l in Eurci^-ul dn-fuiiti^r' nrv itilttrnvt ur rwin pltittrr, 
iMuglanK jAnMer iin<l rttljber a<lhrgirf plonler. 

Rtain Pffuirr. — This nliistcr. nliifli ii^ miwliiiic-ijin'aiL 
if one I'f llic m.i-t wi<lcly *nii)lov(xi j>lii»^tcrN in ^iir^iml 
Imisimpi ; tlip fiiinwl wuri'ace is txtvcn-cl with ii Invrr nl' 
6111 -J HI {XT, M'hidi shuiiUI Ih' n^mu^-C(l iN-fiin- it iK itN.-<) ; it 
is t^ttt itit» !>tri{)n of thi- required wiiltJi nnd li.ii^i, ini'l ilii.- 
|ri}jei HtuiuM be rut )t'n^hM'ii<e fnim the mil ol' plai4«>r, ils 
riotli «|Kin which it in spnswl •itpttihcs nuin- Iniiis- 
-ly thnn in :i lon};iin<lin:il ilin-<-tioi). \V)irn hi-iit(^l 
mill :i|i]ili(ii to (lit- Hiirliiit' it ImltN liniily : it i'' |in'p<in'<l 
lor ii|>|iliitition hy npplvinK the iiiisitrciul "iilr to ii V(-^«(-t 

Rmtniiiiii); Ivot water, or it ni:iy Im> pRM^O mpiOly llinttt^li 
I4> fliiin*- of an almhol lamp. 
'Hiiw La tlw vsriity iif pliwttr whit-li if* (;pn<-r«lly iin-t] m 
uUinfi tlic i-xton-'ioii apjKtratii^ for tlic Inntnii-nt ■>!' frui-- 
mrtis, for flimiipiti); the rlictst In fructnn-fi of iht- nlw nixl 
Ktcmum, for rtnippiii^ tlif pelvic in niM-s of rni'-titn->> of 
llic [H'lvir Ifont^, or for titnippin^ Ihv hnvi«t, tiko tntltolL*, 
iihiT", or join Ic 

RtJihrr A'thg»itr PituUf tH miwle hy npniulin); n pn-jMi- 
nilion I'f hxlia-nihU'r on miii'lin, uii^l hnn ttu* n<lviiii(ut:<i- 
• ivt-r ili>' nnlimiry ni'in T>tiL''it'r ihnt it lulhcn-* wilhonl 
Ihi- iippliiTiiioii of luiii. It i>^ oniplovitl liir lh<- Miim- piir- 
[MM- KH HMiii pliiflcr, litit when appliiti ilint-tly to tlu- nkin 
It ii> \\\A I" pnHluit- II R-rtniii iiiiioiint of irriljition, nnd for 
Ihi* niiwtn whrri il io |o W omliinKniMly applitnl for nonip 
liiu<-. iif> ill till' lUH-of an ixli-nHioii iiji|>nr.iliis it \* nut im 
~lt»nfiirtAlih- n ilnwin^ aii that miulc rmin ruun pliifttiT. 



160 




XtlfOH aUROERY. 



JnnytitM Iltwter, wliifh bt iiuulc by i'|>^«■lill)E A Miliilton 
III' inii)^Iik« ii|M)n silk or iiiiiHlir), M'ill Im' fitiiml bi !>■■ a lufKt 
ii^-liil ilrt^^^in^ in tlic tri'utiiK'iil i>l'Mti|H-r(i<'iiil UDtimlrt. li 
IK matlp Ut adlicn- to the stirla<v liy tiiolilriiiiii; it, uiiil 
when \bnA in Ihi- In-atmcnl nt' vroumU !l mIukiUI U* 
nioUtemtl with an anliwjitir wiliilion ; it M in Ihbt Mty 
rpndcntl aiitiM?])tic, an<l ninv hi- ittinl with ^ilV-ly in <i)ti- 
iicclioii wilii ollior itiitW[>tii- (Irt-rtfinjpt, Tin- U«( fnnii iif 
l)ii» jiliLittT i>< ^pniul on nni^Iin, and whoii ]irii|irrlT 
a{)j)lie<l mllu-iir)! an firmly ami |K»*se»*s oa much tttmigui 
as tlio ordinary rewn i>la8tt>r. 

Bofiire tiding; any oi thivo p)a»t«re, if tlw jiarl In wliit-h 
thoy are to W applied (v>ntaitu) tuiint, lh«ae Ahmild lie 
eliavinl otf. otherwiHo iriK^llon ii[Mm tlicM', if the pWl<T in 
iiBi-d for tlic i>iir|wi(v of exten><iou, or in its removal, will 
cauxe the ixitiint dt«eornfort or pain. 

Soap /VfM/d.— Smp |>ln>-(er for siirnieal p(ir]HiM« is 
pre[>iirfil In- xjiniiditi^ nnjttaitnun aaponia itjMm kiti nr 
chjiiuoiii. It iii not eni]il(iyed for Uie Mime piir]M)cN«i iia the 
nwin or niMier plsnier, fu« it has little adh4-.4i\'e jtowi-r, auil 
In iiw<l !iim|)ly to vtivp Miji|iort to ]MirlHor to ]iro(»'t wliitit 
|H>rliiinH of tlic fkelclon (nun pni^iire. It it^ foiiml a iii<mI 
iiM-fill drcscinjr when applied over the («uTUm in niM^ tif 
thrratetHxl beilsores, and may lie applied for t\ui ttuav 
[HiriHwe to ulher jiiirfs of ih** Iwdy where prwsure nomt 
(uv iiirt to ootiir. 

In the Inalnirnt of Hpmini^ of joinl» a nell-mouUlcil 
p)iM|i-iilii«ii-r rfplint MviintI l>y a Imtidtigv will often be 
(•miik) II iixnl ffFii-ti-nl drtvein^, und in t]ir trvutment of 
fraclMnn till' ninitort of the iMtitnl if( oflen inalertJilly 
iii(-n«M.-aI Ity ap]ilyinK miiiuII tiiii-ex of MUip pliwlcr over lti« 
hwiiy pri>niim-nixf, ii|mhi whi(>li iIh' HpliiitH, wt-n when well 
|ie>ihh<<l, iin- ajit to niiiki' iin iiihIiic lunoiinl of pre««iiin-. 

Slrfi(>}iiii;/, or iipplyiiiK pni<"iin- to partK hy ineHnii of 
r>tri|w of plti/>t<-r tiniily iipplivd, i»» |tn>tv()urr oniti eilt- 
lilovwl in -nripi^l ]inMli<x*. 



8TRAPPIUQ ,Tn« TRSTICLB. 



151 






Stiiai'PIx« tiik T»>?rn-i.K, 

In Htra|i|iiii|; iIk- kt>tirlfMri|w of rooin pliutttT hd- tu'imlly 
I'lniiliivcil ; a ittixvii ar morv <n\v^ mn-lnilf iin iiM"!! wi<)(f 

It) tw«'IvC' iiH'IiiT iit li-nglli will Im- mjiiin'*!. 

Thv wn)tiini vhoitid bt- finl wnnlif*) iiii<] »)invc<), luid tliv 

rpitii next <Ini«« the fkiii ovit lln- iiffii-uxl or^n tiii^ 

liv ]iiuwiri}; tin- tliiiiiili mid linger iim«ii<l tin- wnidiin at 

ii]i|ii-r |ii>rti<>ii, milking ('in'iiliir (-onHirictioii ; n Mriji of 

itMtor u'liii')i liiiK Ih-i'ii Ik-jiIi'<1 to iKt-unil in n I'iiviilar iiihii- 
tuT uroiiixl till- skill of tin- •■niliiin ii1m>v«' tin- urgnii, uiid 
in ti^itlv ilmwn iiml ■i.'c^tin'd ; tlii'* ieoliitt? rlir )iart mid 
prvvtitu Uic rrilitT fttriiNt rrom dipping. Stn|»H iin> now 
appliii) in B longitiiiliiml dini-rimi, itn* lin<l Htrijt iN-iufC 
fa.?tcn<il til the rin-nlitr F^trip iiml c-utrift) ov<T tlic ni<i»t 

rw.M. 





ainin<i« Ito WsUoX. iHttirn.) 



pniinini-nl juirl iif x\n- t<-Hlii-lc, and is tlicn tnrriod luu'lc 
I i1m> i-in-iiliir ^Irip and tiLttoiml. A iinnilior of thtvw 
ripM iin- npplifd in an inilmcalrd nuinncr until llw 
..(in U n»vcn>d ( Fig. IWi), ai»ri ttw drc^iMing U ei>nip1eliil 
hv (KiMftii); trannver*' strips uritund lin- tw^tieU' fntm it** 
lt>w'-^l i"»rtii>n 111 tltf i-initlar «lrip; can- should Iw laki-n 
|ii .'«i' llinl iiu iMtriion >if ilic ^kin i" Ic^ nmiivrrtil. 

Himiiping tW t«*tidt' fct ('ni])lityM) witli lulvnnrHi;!' in 

Jic MtiUinitc Ktugr nf nn'hilitt nr I'piilidyniiti^ and it Mill 

ir (ouiicl II it^ I'ul iiK-an!) of applying proHnire in Ur> 

rmlnin alli-r lln- !ii}(i-li«n trt'EitnicDl of hydroit'lr. An 

jitf >>vi't-lliii;; of llif IcFftii'lt' <liiiiini>'lii-f l)ii' hiHiiis Ih'iiiiiiv 

liHw, uihI tlic [Kirl will ntpiin.- rL-i^mppiii^. 



ia3 



MINOR Sl'RORRT. 



Stkapi>in(i ok tiik Dki-iakt, 

To Mrau (lie hrtiMl, !»lri|H itf n-nin plnsU-r twi Jm-luM 
U'idi- nnd fniif; cmitiuli tn [iiiH.-< rnmi iIm' ii)i|MKiil(' MliotiltltT 
nrulcr (In- hniist (o rito |i»iiir uCsiartiiit! tin- rtiiuinxl. In 
iijiiilviriK till* Mniix iIk- <-ihI uf llic -rrip ix iilito-cl on thv 
KpiDC'nrih<- M-ji[>iiln>>l'llii- niilc ojiiMnilt' tlic •iiMiiMHl liniMt 
Slid w i-arriHl tiirminl over the slioitlilir iiihI iil>lic|iic]y 
(lownnnnl uimW the bnti-it mid uxitla, and lltm lAi-r llic 
W-k to the (Miiiil i>r Hliirling ; llio liist clrip hcinjr »)i|ilu-(| 
ill tliii^ itiaiim-r, tlu- iioM f>iii- U n)t|diod io tlie Mint' din<c- 

linn, ovorla)>|iin); itl»oiil fmi*- 



Fm. ft, 




third of tJif iin-vi<iii»i Mnji 
(I'ij;. !l"l, Tli«<c obiirjiH' 
F^tri[)F> arc iipplieil in nil im- 
liriratMl Diunncr until ii F^uf- 
Kcii-nt mimlK-'r )iiiv<' Int-ii 
iiw^i tn oivrr ill tile hnildt, 
. ^-. — 1^ , or the t>Wii[iii> firi|w iiiiiy 
\ Nj'^Si fc^ / '"' nItiTnatttI willi <'in'idnr 

f J ^ mini iiv«r tin- Im-aft to llii* 

MinH«u( uw tenuL (lumii.) n|iim>. A Kiiftici^tit iiiiiuImt 

of •■tri|N^ art' iiM^I to oiv<t 
llir ItniMl nnd !■» inal«- limi niiii|>ri's^ii>ii ii|Hiti it. Stniii- 

^>illK nf tlic linitot ill llii" iiiaiiiii'r will In- t'otind n •uiiii^ 
iuion' im-<h<ii) of initliii>'iit in ctiniiiii- Jnflnniniiiiiirv 
(Vinditioiio of till' bniut, u'ltm- it in of ii(lviiiila(!i' tn siiii- 

Imrl lltf hniiM niHl iiuik<- iiuniirttviioii at tin* kiuiic liniv; it 
iiw llir ndvtiiilii^* over iJn- iw of ii luindii|K- to Miitjiori 
iiimI iiiiii|>r<f« ilir l)mi»t. tlint it \Vn-n not iiiii-rt'cn> willi lliv 
nlii*l inoliiHi' ii|H>ii \\w o|>|Hwi|i- aidi- nf itx* UmIv. 

Stiiai'I'i.v'i nr TiiK <'iiB*r. 

To Nimp oiM'-linir id' iIm- cliift, ntriiwi of mtiit idnxlcr two 
nnd u liiiir iiii'lKf widr, mid Innif i-tmdj'd to a-xlt-n^l fioiti 
lilt' ■jiiin- to the iiiiiliiiii liiif of till- Kli-rtitiiii iiri' ni|iiin-*l — 
ri^litivii to tm-iitv iiH'li(f< in Icnijili. Tlu- lirH Mri]i it 



.PPIKO OP UI.CKR8. 



153 



PM.M. 




Sln|>|ilnKo( Uia tfeoL 



lirDlril am) niif nxirciiiicy U jiIikiiI iiji'ii) the »|niir- i>|)|HHitr 
iIm- I'UVfT iHirtHiii <»1' ihf (■lii'st ; it i.-* tliiii <iimii! uvrr tin- 
cJii^t iiiir] itM ottHT txlrc'iiiity i.s fixitl ii|h>ii itii- skill in tlic 
intsliiiu line uf tin- iHcriiiiiii. !Stn|M an- iicM u(»|ili<ii Iroiii 
Ih-Iiiw iiiiwanl io (he sumv nmiimT, cai-li .-xriii nviTliiititiiiff 
• iiti-tliini or the iirtiiiliii^ mir, 
iiiilil iIh- iixilbirv lulil i- niu-liol 
(Fi^;. iWl; a .■stfiiiml lavt-r of s(ri(w 
iiiav Ih- a|>|iliM] owr Uk- 6tsi, il' 
wlilitiiiiwl fixnliuii in (lniin><t, or 
a fi-w olili<|iH- stri|)» niay be mu- 

Aillxfivc MtiTiii-t umilinl in tliis 
mwiiirr vci-v nmli'riiillv limit ihe 
iiiorioii of itiu flH«t-M:ill n|>iin tW 
allit-ttil skU; uimI iii\- rif(((Hiilly 
i-iii|)luv(<f] ill till' IruilUH-nt of liw- 
timw nixl ilicKxalions of tlw rilw, 
ill <ii(iliisii>im of iIk' ctirst, ami in mui-h of pliulic jilcnriDV 
w'lu'ii ihf mi>tion« of lh« olin't- walls an- i-stn'Rick jiiiiiifiil 

Io tllf [Kit iff It. 

SrttAfr'iwi OP Uu:KiB*. 

To <<trnii nlivnt of iltc h-g, Ktri|in of nvin |iWl4T oni^ hikI 
■ lijilf tiK'lii'*' uhI(-, atitl loll); i-i)iin|;l) to lAlciiil Iwo-lliinbi 
nroiiixl itii' linili, nn- nni|Utnil. Tlic iilii-r -ilioiiUI !■■ ilxir- 
oii^tiiv rUmiiHil, ■III! tlic nkin .■<iirroiiitiliii^ il hIioii1<1 )n' 
wrTi (frin) ; ihc ntvt xtrii', Iwin^ iniitiil. h n|i|>lii'<l olili<|(u-ly 
t>i ttii' Iritii; axb> of iIh' Ic^ EilHuit two iiH'lH-!t U-low the 
uliiT, aixl ix (tirri«(l iwo-diinU Hnitiiid tlif liniti ; aitotbcr 
Kiri|i jo npiilinl to II ci>rr<'!-jH>ti<lii)K |H>in( of ilic nkiii on tlic 
i<|>|i<i>iti' -iili- III' till' litiiti, and ir- (Tii-rii'«) olili4|iH-ly ovi-r the 
liinii. <*niw<infr itir liml Klrifi in tin- rnixliaii liiic, aii<l is 
mrrii-il two-tliinln of tlic wav imiutid lla- limit ; altcnuitp 
Ktri))* ntv lliu» a|i|ili«'d iinlil the tiln>r b M>vcn-«t in, iiml 
Ui('i«Iri[io nn' t-urriiit wwrnl itn-linj iilxtvi' tin- iiUvrtFi^. 
Ktl), 4 an- olioiili) Im> ukm to Mt- tlml iIm- ntriti^ urt- tut 
aiiiilittl n* iiul It) mvi ur intvcr I)h> 4'iiliiv t-in'miifcn-iKv uf 



IM 



MIirOB SUROKRV. 



the limit, a^ bv sn tloiiiff injiiriotm dmilar tx>m|)ri7H8Miti 
inav Pt-Milt. Chronic iiKvn. iijwn other jHirliunti «»(" llic j 
IxMly muv l)e straii)H^ ii) \iw Knur, ntanner. ■ 

Stmpitin^ of fcjf iilwr* ii* iiMiaily rvin(iirtx>d liy tlio 
niiiiliiiitiitii uf a lii-ail\ H|i)i1i(ii H|>iRil rovt-ntn) ur 8|iiii|| 
liamlugp of the h>wer 4-xln-iiiiiy. 



Fm. m. 




Wnn4n|ot utnTaf It- (LiRMt.) 

Rlni{>[>iiif; or iilii-m of ihc Ii'^ apptinl in iIh' rimiiih 
drM-rilxil nil) In- foiiml ii iiio^i KilUfui-ton' mclhiHl of 
Ln^ilitip rhronic iihvrs in llii>« location in )>nl)ii)in m)io 
hdvi- Ut viirU, thiriu^i: IIm' <-oiir!4i- of trvatnifiil ; the litriiv 
atv*\ only )h- n-uHiVfid ul inlcrvaU of a wm-k, ainl, if ttvll 
tt|i|>)inl, till' ilnvHinf; ih ^uvinny a coinroilalil« ono to tlir 
|Mil it-Ill. 

STRAPriNn OF JOISTX. 

Stripfl uf rwin iilnstcr two inchm in ui^llli an<l Innv 
t-tion)fh loi-xicml rwo-iliinlii iiroiind tlti- joint urn' rfiiiiintl. 



TIh> An-I ^'iriji in »|i|ilif(l n fi'W i»i-lti« U-li>w llH-^oini, aitd 




POtTLTICia. 



155 



I 



»itn[it« lire iltcn u|iplictl aver t\m, cacli strip viivcriii^ in 
tw<)-th!rt]>i uf the pr(f«iiii(E oi>p "ntJl ihf joiut lit cuvcml 
in find tlic fttrips exlen<l h low iuch(« alwvv IIk' joint, 
Tlio ankle-joint i^^ Htrnpito^I by tiikin^; Htri|>£ nf rcfin 

IilsfiliT t)iio iiii'h in »-i<llli ; th*' fir^t Mtrip \^ \Awtt\ over llu' 
twi. and iti' »'ndii art- lin)iij{lit fo^^^B^^^ until tin y m«-t "wr 
llif i)4>rsiini lit' t)i« f(H)l ; u i^voihI Mtrip cm-iri-li'ii tlit' f(>i>|. 
ami geciim; tlie ends ut' the tiivt Ktrip. 'Dh';^^ i-tri|M an- 
ilUTtialclr appliotl, tvx-ii i-lrip if ivtriiig In ntK'-luih' uf tliv 
|>n'viou§ strip until t)M> lUit and ankle urv cuvcrtil in. 

Strappin); of jointo will U' I'oitnd a ^itirifatTtory dn-j^iing 
in lite tnutmout iij'i^pniin» d' joints in tlicir clirunlc ytutf. 

HTKAfPINd OK A CAKlllfNCLB. 

Til Htrnn a ntrliunrli' <itri|iA nf n'l'iii plivtor nm- to iiih> 
and II hall inrtuti in width sin- Rijnintl ; iIk-jh- stri|K an* 
apptii-d Hi till' tnni^in of iIk- hWclliiij; iiii<l aif laii) nU ivn- 
n'ntriiiilly nniil iill i':((vpt tin* i-cntnit jHirlinn i-^ iiiYfriil. 
ir a niinilHT nf i>\n-ium^ i.'xinl, l)ii< Ntripn iirr ki> |>I:i(iiI an 
nut Hi 4ii\it tlii^-. Stntppinn iijipUiil in llii« nmiiiirr in 
th<- iniitiiH'iil iif («rl>iiiN-lc ii> ciflcn a «iinif'>rtHl)l<- drogiinj; 
liir iIh> tiolii-nt, and iit tlio i^mv uiw ihi- <!«iiMiiilric pniwoiiT- 
rav'im (III- i-xlnt'diiin uf tin- i>lont:li. 

PcH'T.TK'fJ*. 

Tlii« Rimi of dn-»eing wuh ronrnTlv much cmploynt in 
tli4- tnntntc-nl of iuflamniatun' i-«>ndit)one and injurii-H a.« n 
niiim* of applvinj; {(I'm and mol^nrt? lo thi- [larl at ttH' 
oanic liini-, Hnd althou(;h the iim- nf )H>ulti(x>i is novi vi>rv 
niiirli n-ntrii-dil f'iixv thv intrndui'liiin of tin- aiiti^'plx- 
»i>*tli<Ml of Hound Inulincnt, yet I think liter*' an- Mill 
roitdiiiouK in whidi t)i<-ir iMiiplormcnt b hcilh uM>fiil awl 
jwlii-iotiti. 

Thi-y an-i>nfn employed with iulvunia];i- in inflaniiiiatori- 
affii'iioiiH of (Iw I'hir't and of thr aiNlouiiniil orimuH. and in 
iiitliinimiilory iilfit-tiouri of ihc joiuli^ and of Ihuu-, itim- 
hiiMil witli Trmt, tJu-ir ucliiiii i» nunl uftirii pwtiHfaclorv ; in 



liiS 



ItlKOR SUROKRY. 



niMW of f^i)|rn-iM- tlirir wiiployim'tit luwti-nn llir M'^orntiiMi 
<if tlif Hl<>ii)flii*. 

Ttioy €<<)iiKtiltitc It fitnnof tlrviwiiiK whk-ti mmltHn-w inucli 
t» (lie nkmfon nf llx' (miIh'IiI in <-hw» nf ili'c|i tiii|i|)iimli(iii 
hy llicir relaxing t'fTiY-t ii)>(ii) tlu- lintui<¥, iiimI tliiir prt'viiiini 
utM' iliM'!* nol |irt'vi-i)t till- Hiir^iiiii iViiiii iiiiiiii; iill iiiiiiwitiio 
|in'iii(ili<>tin it) till- <i|>i'i)iii^ imtl ilniJiiii^i- itl' (Ixw (ilmif^nMw 
iiml llic ftii)tlin'iiii'i)t of uiili»i-|itii' ■Iniv'iii^ in their Milkior-- 
i|iiHit tnat nil-Ill. 

Flaxtml PotUliee. 

Tliii' |Ktiilli(ic ii> iiivjHintl l>y nililtrijf f!t»( u tillt<* oiM 
wnli-r (o ^niiiiiil lljixMttI luiii lli>-ii mlclin^ iHiiliii^ uiiu-r, 
niid ntirriii); it in nmil ilit- rtf tilling mixtnri- ih of tlic •■<»■- 
ftislriii-y "I" tliii'k iim"li, A \»>-<i- ni' niiHlin ic m-xt Inkvu 
uliii-li M » litclr liirpT lliiui Im- int<-n<l»l tHUiltirv, nDil lliiri 
in laid (iihim ttif Hurfiiir of n inblc iiml Ilii' )H>ii1ii<<o miim 
iii :«)ir(iH( cvi'iilv niion it with ii i*iKitiila or knife fritin unv- 
i|niirn-r to oni'-lmit ii» iiioti in ihnkiti-M ; a iiiHi)!iu of iIh' 
niiinliii of Mill- or OIK' mill a luilf inrh'» in It-A, wlii<-)i is 
inrncl ovrr itAcr rhi- |M>nlti<v U ii|invi<), iiiid M-rvt-n to iinv 
viiit it fnini (Miipiii^ jimtitK) the vtlf^v^ whi-ii HiijiliMl. 
Tht> MirfiHi- of ihi' iMtullitr inny Ik> thinly M)in-«il uv4<i' 
villi n lilllc iilivt' oil. or niny In- novcnil with ii Uvi-r <»r 
(liiii ^tiiM' to |>ii'v<'iil th<' iiitLv> froni H'lhcrinK to the 
nkiti. 

It tH »ow iijiiiIhiI til tlir nnrliiiv of tW skill UImI Im 
ciivi-nil with n [ti<iv of oilitl nilk, ntl>lN-r Itwtn-, or wiixnl 
|ni|)i-r, iliwl liehl ill |HR>ilion liy ii lsinilii)£i- or n liindir. 



Itrewt fotUtiiX, 

'Iliin jKiiihin- is nn-iKtnil from "lah- whi-nti-n hrtiul. the 
f-nt-itt' Ix'iti^ •iiM^iiiU'il iinil the <'niiiil> only lH'in[! uniI ; lhi« 
in iiHitmi-nol with lH>ilin}: water iukI iilh>«'f(l to Mxik for a 
fi'W miniltitt, wli4-ii tlw exi->w> »f wuler iM luMirtO off niiil 
tlic iiuMi 18 njin-nd U|miii ii \nn\- of iniiHliii or tinni, m 
bt-Riri' iluwrilN<<l, 



PSRHKNTINQ POULTIOK. 



167 



fHarth PottlHer. 

Tlii> [Niiilliiv U i»n-{nirc<l by mixtit^ iMjirdi willi ivU) 
xiitUT iititil a Hiii'iotn, i-ix-uiDV tluid iiwiills; builiii); uult-r 
i» thru o'IiIhI, iukI il U iuiitol until it iNxxtiiKv d<-ur »ik1 
han nlmiii the miiic coti^inli-iicy »» tlif ftJinU iidwl fiir 
Iniiiiflrv jHiriMv**-;!. Wlit-it .'•iiDirii'iKlycoul it if F^pnw) upon 
niiiHlin itml ii)i|ili<'<) to lli<- }icirt mid '■•iviri')) willi ••ili'd t^Wk 
ur waxi'd |in|H<r, Ttitr' vurit-ty i>f |K>iiltiiY- it* i)^)!!:!!^!]^' 
iiM^d in tsM-rt iif ilii^iM-:* of ilic r>kiti, nfp»-uilh' ilii>f>e ul' tin- 
widii iiiximiiuiniHl l>y the riinnation iif wiiln^ or rnistjs to 
fiii-iliiiih' ilit'ir n-iiioval mid to itftord u IWv miHjiw for 
tilt- nitiilimiion of (>ii)lincnb> or wirt dn'minK^. 

Charcoal PtruHiee. 

Ill |ireii«ritit: lliii! poiilliit' tliLX^i^tl-nit^il atid jxiwden?*! 
diartiial in ti(iuil [KirtM ojv itiixitl louttlKT, and liv uddinfi 
boiling wat«r a paultit^c- niaiw ix imxiitM'd, which ih it|imHl 
ni>t>ti luunUii, M> prcviiiHt-ly detnilwl. It is Ixrttor li> iiw 
uniuud I'han-oal in nuil<iii;i; this [toiillicr, an it ihi^mciimv 
jircalff dwiiiti^tinji jxiwcr ttiim vcj^'taliK* <liar(N«il. Tliiit 
pimltiiv \n iKtH.\ Its uD iipidit-Htion to ^tuij^nnoiL-i jmrtH, iin 
It |MM>««F«^ murki-d difiiatc<rtin|{ pro]wrtic«>. 

Fermettling Pou/liix, 

Tliij- |«>n1ltii' inay U- prt'[«irod liy lutdintt yca-'t, two 
tiil>lin|MKiiirnL-, to a luixitin' of fluxftceal xviili hot wiitcr, 
nuikiutrn thin |H)nlticc tuiiMM, aiu) ullowing it to Miitul for 
■ few hours in ii wnrni pluii* ; it riM'^ auci Itrconii^ )')fhl, 
and in Uii-ii spn-nd tiiMni uiiislin and np|ilit-(l ils ii-ipiintl. 
A frw oiitiof nC iHirtcr or a piece of ynisi cake in«y In- 
iiHi-<) tui H xnhHtitiitc for (he yraiil in pre|iann|r lliin 
ptjiilltur : rhiiniNt) niav also Ik' nddod to it to im-rtDM' il<i 
dtHinfin-Uuit [MiwiT. Thio jMtiihin- was formerly and in 
Ntill iisn) as an apiilittilion to ^alI);renolls jiarln to liiiMeii 
ihi-ir M-imnition un<i to diminUh the txtor arising fniui tliv 
llai-romM liiwiMt*. 



168 



MINOR SUHQKHT. 



Oakum Poutiief. 

Thut U jin-iKint) liv fMUtkiu); a ina»<i>f liMiwIy pickitl 
oakiiin ill tiot unhT, Hriii)!iii); il out uud ixtvi-riii); it HitJi 
ti InVfT of t'li«i*-fk>tli iir iii)liHf|>tU' jfitllKO. It ic iii-xt 
ii|)j>lut) lu tiK' |iurl uikI i-ovcrvil M'illi <>ilf<I «ilk or nililHT 
ItwiK-, urul lifl<l ill |>liiiv liv H toiiitii^i.'; it Itiiri n Inrp- 
cn|«icitv for llic iibmfrjtlioii of tiiwluirni-^ 

It niiiy Iw wruii); out in ti wnriii l)i<-hli(ri(l«> Miliitimi, iir 
iwbollt' Malutioii. luu) lliiic form iiii anlitrplie |M>ultioe. 

Hot Fomentatiosi*. 

Hot fniucntutiouK art' oinplovocl to k<>(-p u|i the vilalilrof 
(Mirti' whifh liiivc btfn riulywlwl lo injun, an sfcu in sovi'jv 
<\iiitudoiia nttiiltin); from railway or maHiiiicry a«H4l«!0t« ; 
atai to roint)at iiiHiiDiiiuitorv action. Flannpl rlotlii;, 
(K^vi-ml laytTji in thirkmtw, or surfiira) lint stioulil ite 
fMuikttl in water liavint; a temixranirc of 1^0^; titow arc 
wniiiK "Ul nnd iila^tJ ovtr tin? jKirt ami coviri'd willi 
waxeS [Mper or nil»l»er tii»ii« ; a N"«intl clotli should Iw in 
the hot water, ready to apply a^ soon a» the lirKt-app1i<<d 
cloth kcgitu to cool, and m by mntinuooHly re:ipplying 
tlinm tlie mrt if* kfpt i-onHtantly <-ov(-rp<l l>y allot dm^ing. 
TliL- uau ol tli(^- hot fonii'titation^ may in iiuiny mttti have 
to lie (^ontinu«I for honr^ Urfore the doin-<l roiiill is oli- 
taitH>d. tlot eomprenars iipplii'd in this miiniKT an- fn- 
<|ii4.iitly inunloy«-d in lix^itm); intliimmiitory iiuwIitionM of 
tlw fVf, and are also of ih*- frniitt-jM H-rvint in ktt^iiiu;; ii]> 
(1h* vitality of {Nirtf^ which have tH<iii euhji-vtcd to M-v<>rc- 
injiirv inlcrfi-riii); uilli thrir )>liHNlHmi|>)ily. 1 luive tuiva 
c'ontii>«'<l liinli-, uliirh witi- (-oM and mvincd to Im' dooni«) 
to Kninn-nr l>y rwiwui of iliniini^hM) 1>I>mhI— iip)ily, Iiiivi> 
thvirtt'mjM-raliinMindcirciilatioii n'Mton^tlliylhi'iKititntand 
IH'miHtciit UM- of thi» drrwint;. AAi-r the viljility of tnich 
n [Kin iM nnlonti it Hhniild U- iiivi-ml wilJi ><utton luid s 
fluniirl iKiixlap- uiirl Hnrroinnhtl hy hot-wiitcr Iwpi or ImiI- 
vmtur ain«. 




IRKI01.TI0y. 



Irrigation. 



169 



'rhi« innv \k noconiplisln-il by alt»wiii); iht- irri):aliiig 
fluiil t(k niiiu' in •'ontui-i witli thu wmintl or intiiimcil [nart, 
or l>y allnwiiiK tlit- (i>lJ or warm tliii<ltt U\ p3K8 tlirtoieli 
niltU-r itiUw wliH-li un- in ciinluii with or fiintmiMl the 
IMirt ; tllf bttrr ntotliod is kmiWU tu nuv/iVi/f irrigation. 



rM.ua. 




AfiraniiM IM cDtittaima Intculou. (ButiKiti 

In ftnjiln villi; irrijfation in tin- ircntDieot of wihiikIh or 
ill inlliiHiiiiiitory ti-iHliLioDii, a tiinni-l-»<ha]Kcl can witli a 
Hti-ji-^iH-k III. tilt' Ikitt'iiii, or a liiK-ki^l in (ms(wiul<il ovrr iJn* 
|Mt1 tit a OititaiKT ol'a lew ini-]iC6 (Fig. lUI), or n jiir witii 



160 



HI^fOB SUKQERT. 



a ekv'm n( thn-ad or kun)>-wi(-k arrau(;;r<l b> act as u aintton 
miiv !m! om|iloy(?il, (Fig. K'l.) Ttio iiia or jar is hIImI 
witD V('utcr, aiiO ihin is nlloMnl to full (lni]i liy (litip ii|k>u 
t!u- ixtrt to lie irrignbtl, which flhoiild he. pWvA ufMin a 
pinL* ofruliWr nIiretiiiK s<> iirruiij^l as to allow tlic wal*r 
to run off iiil.i a iiH*i)tii<lo !-i iw !■» jiru'vent tlic vr«4tii^ 
iif thf iratitiil'H 1)mI. rho water »-nnilii_veil iimv be- cither 
ti«l(l «r warm, aD<l thi(^ is chiidt-d I)_v tin- iinii<«tioii!i in 
H|>p<-ial ca«fi, ami if it is ili-sirwl (o niakt^ use uf aiiiiK^'iiti« 
irriiialion the water U iiiiprtyiiatnl with tnrlHili^ acid or 

Fio. 101. 




trriauUit «p|«ntiit, I Rbk-mi 



bi<-lil<iri<lr iir (iK-ftiirv ; a ] : iUNK) to I : 10,000 lii.-liloniV 
Holtilioi). or a 1 :<>0 rarlNilie nciil miIuIioii, i» IWtjiicnily 
ttiiiiloyn) with pnA n-HiiltK 

AntiFic|>ti(- irri>:iiiiiiii fniiilovwl iti thix iiinnm-r will Im' 
foiiixl a ninut iLiel'itl iiu'IIkmI of trciilii)); la(vr.>(iil iiml i^>n- 
KiMiI mkiiikU of the extrciiiitu-H in »liich tlie vitality of 
the lLH!<ueti is tniicli impaired ; aud in kin-1i ihmk iIk.' Hnnii 
water shouM he jirefcrrwl to cool vrat(>r, lh« tcni|>i>nliin> 
IvitiK from IOl)° to 1 10*' 



l^ntliT the tiM- of warm irriKHlioii it im Htirjtrifiii); to wv 
how liH>ii4'n apjian-iitly ili-vilalij<:i'<l n-piin ihrir vitality ; 
ttH< aliM-u<v lit leiinioii fniiii iW noii-inlixidiielioii of Miiurcn 



[HBIOATIOK. 



161 



firm •lrc««in^, smi tlie ivanulh uml tuoiettiro kept 
intlv in mnlui-t with tlit- woiiml bv this mfrdiocl i>f 

irng»iina, are the important fuctont in (Iip atlaiiimvnt of 

tliift fuvomble reeiill. 

Mediaif IrrSffatioH, 

In diirt tnf-lli(Kl («>lil or wiirtii irrtgiittun b> nppltixl to tlic 
[■art Itv rnt^iiin »(' cotd <>r vtiirni wiitiT )ML-«-<iii}; throii^l) ii 
niti^KT tiiU- iu iiin(tu-i witii (!»■ ]uirt. A lli-xiltli- tnU- itf 
lailin-niblirr liiilf an in<-li in iliuntrlcr. wltl) tliin wnlh, 
luii] Hixtii-n or iwvniy I'oi-t in K-n^tli, i** iip])ti<-<l (o iln' limb 
likf n -ipinil iMiiHlagi', or ii> iipplit^^l in a oii) lo tlu- iK-tKl, 

FlO. i«. 




0»U coll kppUcd W MM. IBUI4M-H.I 

bniLHt, or joints, timl hvld rn pliui- by ii fi-w tnn» of a 
luiiKlnp- ; Uir i-n'l of tli<> liiU- i.-* nltii<-iM«l lo » n-«cr%'i)ir 
tillit) witl) lYtlil nr warm wiitcr iiliovc llx- li-vtJ of \ite 
\mt'n-ut'H iNnly.nttil llir' vntiT i» nllowt-il lo (loiv n>ii-'lnnlly 
tbnxi^li ibo tnbiiijj iiml »?tmik' iuU' ii nsvpliulr arnuiKi'^l 
til rvecivi- JL (Fig. 102.) 



163 



XIKOR SURGBKT. 



(\}i.i>-Watkr Tiarmtsos. 

ii|llti-r ilinvdv ill mntuct with Otv |i»rt ur by u|)|ilyiiij; it 
Uy IIII1UIM ril' 11 rublwr hag or libuldir. 
' TIh' i.iii|i.-rnliirc of the wiUt ni«y viiiy from cool water 
lo lliiil of ii<i'-t\ii1tT. 

'ritiw tliN'wiii)^ iin' cmplnycfl in ]»m\ iiifhiiiiniittury oiiii- 
<lllliili>>; It fiivoritf iiH-tlKil itf ftii|(i».yim-it1 ol'llii" ilix-w^iiiii 
l« Ity >lii<(ili» or (W(/ coinid-Mw*, wliirli an- iiiiiili- of ii i'fvi 
lityrm til'Miruiml lint, iliMxtl in uiitcr nftlir' ikvirt"! tcni- 
|tt<ni(iiiv Hitil itpiiliitl lit llie ]uin : tli<-y an- rcm'Wtil t» mhiii 
HO (Ih'v tuiiniH' warm. WKcii it is iK-sinililf (o Imvc tW 
iiiuiiii'i'wM'H very cold, thi'v iiuty Ix' litiil ii|x>n u IiKm-Ic of 
liv or ill n lunoiri xvitli liritkon i«> ; l'> obuiin tlir Uvt n^iilt« 
n>iiti llx'ir rm)iioyiiH.>iil tla-y eliuul*) )m.- ivneufti iit vvry 
■hori tnt«T\'iilH. 

A <Hiiiv<>iii<'tit im-tlKMl(>fn|iplnii)rrnlcl without moijittire 
U l»y tin- «*• oC tilt' icf-fxii/. "tiuK is cither n nibU-r iMg 
or lilii'liti-r, wJiiili in ftlti-tl «ith limWn icr und ii[ipli<.-<l to 
tlw jmrl. Ill ii!>iiin III! in-lniK it is l^ellfr to rover tlic iiurt 
fin.1 wiili a towi'l or n li-iv Uycnt of lint or miislin, which 
Iin-veiits tlic HiirfiHi' fnnu U-<iiiiiiiig ^let by abMirhiitf' the 
itioiHliire nliich eomh-tuwH ii[Mm lhc> surfsce of tiw tuif: or 
lilnilder, nttil liiii* n-DilerH the dre^in); nion> conifortnlilc 
111 itii' imlii'iil. Tile i(i'-lHi|; in oDeii entjiloyed lu iiii iiii- 

|)li(7iii"ii to ihr Ui-iu] ill ii)l)iiiiiniatory cotKlitioti^ of (uc 
>niiii or iiiciiiliraiii'M, and ii iiImo omi) ii|M>n thr siirfiitv of 
lh« InmIv to cxHilnil iitU-nml hfiiiorrhagv. 



(VMTNTKIt-IKlllTATIOS. 

Cotintfr-irntjinlM arc HiitiHtiiiii'm iitijilovtil to rxritv rx- 
tcriuil irriljilioti, iiixl ilic cxti'iit of thrir ixiinii vnrirK 
lumnliii); Ik iIk' iiuiii-riiil iimiI uiid duration of iti< ii|>[di- 
'iilioii ; Mi|M>rlii-i)il n<dntfw or •i>niidi-tp ih-Mlrtk'tion of 
liii- vltmliiy of ihv |HirU t» wbit-li llw-y »«• ii|»|dif-d iiuiy 
mtiilt. 




BOBBrAOlBITTS. 



163 



Tlip ii«' of iiiinttiT-irrilnitti^ iinikT fiivfiniWc (■irciim- 
-tjinii-" it fniiml to Imvc ii <Wi<l<'<l rffivX in im»nt"yinn 
tnorlii*! jir>ni*««, iiikI tinry art- wtdclv iiii|iliiy>tl a< IihiiI 
ri'ViilMiilfe in (UMV of (imj^iwlioii or ii)Huiiiniiiti<in, miil in 
■nnx ormllnpw for t)H-ir i^imulaliii;; olTivl. 

ItrBErACIESTS. 

These acvuiH, by ivmon of their irritating prriper1tf« 
\v\wn n|iitli«l M we ^in, pmduoc intenw miiK^SH au(l 
VMiiuvHtion. 

/lot WaUr. — When it is desired to make a quick ini- 
pntMion iipou the nkin, the iip|di(-alion uf mn^iliii or flannel 
rhiths wriiu^ out in hot water iind n?ne%v(ii as rajmlly an 
tJiev iMsame oonl vrill soon {ir(xliir« a mijH-riit-tal redneiis of 
thv intefEiiiDente. 

SpiriU of TurpcntiKf. — ThU drug a|>)iltHl lu the skin id 
11 very aotive etxinler- irritant ; it may Ix- nit>l)r<t nyurn the 
niirlii(i> of the skin until iv<ln<:?«4 rt^iilts. When iL-^tl u{><>u 
jMtii-iitii vrht"^- skin U veri' delii-site, its lu-tioti may Ik* 
nMHlitii-tl tiv mi\in); it with oinal ]uir(!> of olive oil tiefore 
ni>)>lyinfr it ; thi.^ uill \ic tomid n useful |>ii-<iuilion in 
ni)iilvin)[ it afl a nihefacient to the tenth-r skiiiit of young 
rliiktrvn. 

Wheu redness of the skin has resulted from the appli- 
ratirm, tile skin should Iw wii>ed dry by means of a sidt 
ln«»-l or nlisorlieni n4ton to reraovi- any tiir[M'nlini- from 
the siirtiMv, wliieh by its continued ei.ntael may i«tM' 
Viwimlion, 

Tiintrntiue is often emplovrd as a nibefoeient in tlw 
fonn of the hirjtentiM dttfte, whicji is prepatvd In- sprink- 
linjr spirits of inrpenline over flannel eIo4hs wliii-li have 
Im'ii wning iMil in hot iraler, or l>y di|ipin([ hot flannel in 
warm spirits of tiir|K-nline ; ]>re|uirvd in either wnv llii' 
ittil|H- siioiild In.' si|i)et'/4il us ilrv iis jxissilile to remove the 
exre«» of tiiqienlim' before In-inn 3|iplied to (he stirfiuv of 
the ImmIv. a liirjx'Hiine s1ii|ie may ranse vesimlion if 
allow)«I to niiuiiii for I'mj Ion}; a time in coniaet with the 
nkin; its appliiiition for from five to ten miniilm will 



164 



MINOR SURORRY. 



iuiimIIv iinHliKT till' il<.'wtr<-«l cfflvt ; it flioiiM U- n'liiuvnl 
ulW tliif timr, iiikI it iiiii Ix- i-niiiiiiliinl iftliitinil. 

If till- [Mtii'iit iviiii|>liuim of M'vcn' iHiriiiiit; i>f llti* xk'iu 
iifV-r tJie iiM> of tiirp(-ntini>, llii- iMiiDliil miHikx- xlimiltl be 
ftxi'ly tfiiiiiin^^) with vtisi-liiw or Innl, wliiHi will nUicvt- 
till- nil<<oillf<>Hlil>lf nvtii|ili>iii. 

QUor^onii. — A (vv tiiini" nf (■hltimiiirnt iijiiiliitt In tlii- 
surface of thr IkkIv hy tn4-iin» nl' ii inoi- >ir lint, iiiiHliti, <>r 
flmiiicl, iiikI <Hivi-nii by ihImI HJlk nr miUht tiMtiir, wUI 
oxntf » ni|iiil mk-fiwicnl t-ftwt. 

Mttittaitl, — (tittiiiKl tiiiititnnl ur iiiustnnl llmir )irf|Nm,i) 
rruiii (-itli<-r Sinn/iiii a/tut (ir Siwi/'tJi nit/tti \rt oiic ol' tlic iiioiit 
tiinimmily iimiI !>iiliniiiri<i'» ii> pnKlitu' riilirt'd'-ii'til lu-tiim. 
It in ^'iiinilly ■■iiitiloviil in rln- tiirii) nCtlif inuMnrtl jilnMltr 
(ir Mn-iuium, wbirl) in |in')Kirril by niixiiiv iiitml )inn» nf 
niiirtlnnl Hour wild mIu'iiI Ibmr or IbiVMtif iiiml, nnd luld- 
iiig tx» llitA t-noii^b uarin wnti-r to inak<- a lliirk )>aHt«; 
tliii^ b .«]inwl irjM)!! a iiiiti- ol' old iiiiihliii, niul the siirf]ir« 
of ti>c |uii>l<- .''boiild Ix- covi-ntl \(i|b mmic tbiii tnntrriul, 
]«ni'h iiH piiiM% til |iri'V<'iiL (lie taifiti' Ironi iidbi-riii); to (Itn 
<tkii). lit luiikiu); ii niiixlunl |ilii>li-r lor njiiiliiTitioii to ilii' 
ti-mlcr nkin of n <-bilil, 1 juirt nf niiiMiinl llotir sliotild bp 
ti)ix4-<l with •( |Hir1i* of wlu-nt llotir or Hiixmi'tl tnnil. 

A nin^titnl iilaxlfr or xitingiinin nmy lie nllou^il lu retiuiin 
■n iimttu-i uilli (lie !tkii) liir ii |M-rioil Vilnius from fiAeoo 
to tbirly niiiinti-!*, tin- tinw* U'ln^ (pivi-nml by tJti> ncnsa- 
tioitH of till- initicnt : if it h iiIIowk) to remain 1oii|c<it it 
nitty miw vi'sii-aiioii, wbirh b* to ho avoithil, a* uh-ers 
imHiiioil by miifiturti arc very ininfiil ami cxtn-tnely t^liiw 
III hmling. AiW n-niovins u Aiim|n-<n) tho irritated mir- 
Ciuf of the f-kiii xhoiihl l* (m-^wwl with ii iiiwe of tuiifllin 
or lint ^|>niKi witii vaf*liiM', JMiric mid or oxid* of Hn« 
oi II tin I'll I. 

To cxrit*' a nipitl rcvuisiv* action (he maitard foot-bath 
i» iirti-n i'iM|»loyiiI ; it id [ti«)ian<il by uddiiiK lw»i lahli^ 
>i|Mw>nrtilf> of niutttnn) flour lo » iHH'kfl or l<iot-t>ib of wiiirr 
lit II tiiii}>i'ni(iin> of HM)" lo lltl°: in iIiia the |uili4-nl is 
nliowiil to MUik hir' fti-l f<>r ii fi-w miniiKit. 

JUtuluril I'ufifr* — (tiaHa Shutpi*, whicli mii bi' olilHiiKil 



VtCSICAITTS. 



165 



ill (Ih- sIi<>]ip ix'ndy for iiw,', nn< ii <»iivciiu-iit limine nf 
•ililniiiiri^ llii- nilM'tiu-ifiit ni-tion of tiiiiMiin). Tlii\v >n; 
<li|i|tc^l in warm wati*r, and it" (hey art- p^ncnilly v<'rv 
Minxi);, it in vri'll to [>Iii'v a lnv<-r nl' ttnii'lin hi-tmrn Ok 
ritirficv iir tilt* |>la.-<ti'r aiiil lliv slcin Itrtitn- ii|>|>lying i1 tu 
tin* nnriiiiv. 

(b/MtMun or Orjfmifr ^i^^xr U ii1m> Mitm-tiniwriiipluywl 
tin u rnlH-£u-!i>nl, l>ul it in ^iiprally rni[>Iny<'<l in cumUiiift- 
tvm with w|>i«w, fitfuiin^ tlif wrll-kniiwii Kpie* jila»tfr\ 
tJiiA in pn|i:irttl liy taking i-<)iial jiaMf ot' |;r<>iiii(l piiipT, 
i-liivif<, ciniuimoii, nii<l aIlH)>i<v, aitil iMkiiit^ to (lii-in oiiv- 
rmirlli [»rt of Caypnup pomK-r ; tli«w an- lliomti^tity 
mixMl, cnehRK'd in a Haniu'l lia^, aitil evenly tliHtrihnUtl; 
a ti>w Hlitch«s aIicmiM be jiaMtot) tlimtigli the Im^ ul (l>fliT> 
«ut iMintH, to prevent the jxiwiler fnmi ^litUn^ itn |HMi- 
tioa : ht-forc a|)|))vin^ it, onv side of die Xm^ shoiilrl Im- 
wet witli UTiriii Mliihikey nr ali'nlml. Cajtiim- jiliwtfM «pc 
sImi i'ni))loyf<l to o)>Iu)I)mI (lie niWlneitiit i-UKi of C^iy- 
ennt' |H'[t]ier. 

Jryiui nmwimtuj luav al>«> lie ein|>loyn) for it^ niliffiH'irnt 
■ctjoii. A (lieee of lint Mitiimi<-(l with tlie stronp-r water 
iif iiniiiHinia, iihietf) ii|Min the -tkin itiitl n)vcnt! wilh wiixefl 
|Mi|HT, :iii<i allowetl to renmin lor one or (wo itiiniite», will 
[inolixi- a marked niltcfa'-ieni eftivt. 

J'aqut/in'a (huierii, — By ni))i<lly striking the Hiirlacv 
of the »kiii with the jMiiiil or hntton nf IVineliiiN iinitety 
nt a liluck h«it, a auirki?«) counter -irritant acrtjoit niiiy W 
|iri"lii(iil. 

Oiiitioii rltiMiM 1)0 exeniwil in ajijilyinp (inmlrr-irri- 
taiilM lo (latienlii who un> eiiniat>w or niidi-r the iii|]iirn<ii- 
nf n it»ni>lii', for Itere ttH> .-^fn^ition^ of a guitieiit (^itiiiMt 
!■■ UMt) uf) n ifuide lo ttteir removal, and llictr too hii^r 
4<niiliniiHl «|i|)limtion when the vitnlity of the ti>«>iKi> is 
itti|HUntl uiay rexnit in m-riotL" eonMi|iienn¥4. 



\' i>iirA NIK. 

Where it iwdf-'inihlr u< iiiiike ii iimrr- |ierniiinent ninnltT- 
ifritaiil ell'rt-l lluiii ihut |>n"itK\il hv rulKTiu-iiiilit. wd»- 



160 



UiyOK SURQKXT. 



KtniKtM un- <m|>l<)yi<) whioti Uv UiHr artiMi on tlio Ma 
niiiMcnii ■■iriifiiiiiorMcnim.orof w'nini iiik) Ktnpli.lH'tii^i 
the i-iiliclr, tliii" f;"''"K ''''^' "* VwirUt* <ir l>li^lil^; they 
iin* kniiwn im v^-i^imiiU. 

Tin- HiilwliiiKr iHiwt <i>iiim<>iily <-in|iloynl In |in>)iiiv 
vtvimlintl ic UantfmrU, nr .S|iciiiiHli By, Mini lln- |ir«-i«ini- 
tHui iiiiiinxtitly tiMtl ii> ilu- Omilum ninlhariiUM, ^\\u<•h ii> 
N|>n'uil iijKHi icIlKwivi' |>)iiKl«<r, Itnviii^ ii iiuirKin ntH'-luilf 
nil incli III vt'itUh iiii'iivi-ritl, wliicli will lutliriv !■■ l)ti> Mn 
iiiiil liiil<) rill' lilist'T ill )Kn>ittoii. The litiu- rctininil Tor n 
tly lilUliT (i> imHliK'c v<■^il7llillll i-' I'miii lour tn ni\ li<iiir»; 
it ii>l)iiii1il llirii Im' r<-i»iiv<il mill llir siirOui' slioiilil )»■ <iiv- 
tTc*! with n Hi»x.-*»t'(I-iii«il iHmllkv, «r with a warm «iitrr 
(Imtiiri^, Wli4-ii iIm> liliHtcr or vtt<irlc 'i^ vrcll iI<>vi-IiiimxI, 
it may Iw [xtiK'tuntl at iti> imut <li-)H-ii4lcnt |Mirt, tt> alhiw 
ihi' !«T<iiii to ituiiiK', iiikI it ;<)iii(ilil Im- iln'w«-<l tvilli viiM'liiie 
or lK)rii' <iiii(iiH-iii. Il', fur iiny niiMHi il xi* <)i-r<irf<l in kivp 
iigi (ixitiiiiKil irntntioii, hHit Hllouiii); (he Mnini to i^»|ii\ 
the (lili<rli- ntiDiild W ml nnay iiml tlx- niw «iirl<u-<' nliunld 
Iw (In.'MMtl witli xouir Mitiiiilatiiip iiuili'riiil, itiicli an llit> 
wniiMHind n-Hiii fcniUv 

Oanlhnr'uUtt (yj/enlion timy iiI:mj Im* I'liiitlnvHl lo [hvmIimw 
vi-Miiiiiloii ; it IM u|>|>liHl l>y iMinliti^ !x-V4-nil liiycrti ttjMin 
llio ikiii nilli a Uni»\\ over l)ic )i«ri on wliiili (lie lilitftfr 
in III In- |iiiHliiinil. It in II <i)tiv<-iiiiti1 |>rp|Kimti(>ii lu um' 
nltrii til*' luiiiciil ivoiiM ilintiirlt lli<- onUiiMry liliHtiT, nn in 
tlip (w ot a t-liild or an innuix' |i!iti«n(, »r wlifn' llti* »iir^ 
(im- ih Mi irri'^iibir iliai iIm- nnlinarv Idisicr (iiiiiiot U- \»MI 
ni>]ili<<'l. 'I'tiv artrr-InatniPiH of lilifk-r?* iipmIuiiiI liy nui- 
tJian<lal nitlmli'iii i* ^iuiihir tn t)iiil iufviimtly ili-M-nU*<l. 

In tlif IriTiiltiK-iif ol* clii-oni'' iiiniiiiiiiuilioii il i» nftrii 
bc!ll<T toniiiilv II niiiiilH*r(>rKiiuill lili<)l«'rH at inlt'rvalii than 
(iiM> larj;:!- Ii[i»li-r (iriMtiii'tiii; nii i-xteiuivo xi-^iiaition nf thv 
^iirfti'v. Ciiiilinii Htioiil'l If n)im.-r\-i.-<l in iistii^ bli«h'n) 
»|H>n iIk- ti-l)iI>'r^kiii-^ori-liil(In-n ; irrn)nloyiil,tli('y mIuhiIiI 
Ik* allnMcil to ninuiii in ivmlnct with llu' xkin fur a ^liort 
liinvoiilv. They nn-coiilra-iitilinilitl in iMitii-iilK in mIiodi 
th<- vitality or i)h' lifisuis is ik*|imw!i'd by uu^iuituio dtMaaoi, 

Uld iu ttgyd |HTMItlI). 



ACnPUNCTUBB. 



167 



A «itiii])1imti<iii wliii^i soiiH-tJiiui' o<ttinf from the luc of 
otiitlitirtiLil |in'|>arnlinn« aif IiHi^Utp' in itlrntigujy, whk-li is 

, ^lll■w■l liv fni|m-i)i mixI pdiiiriil iiii<-iiinlK)ii, lliftinnpollpn 

I contiiimii^ hlixxl. T)ii^ iiii-i<]<-iit shoulii Ix- Ircntcd by the 
U""* "f "|iiiiin luwl tH-lliii)>iiiiia bv fii|tjKi^iton*. drmiiltvnt 
ilrink", im<l niinii Hiiz-luitliK, rikI liv Itxt'lH-s (o ihi- |wri- 
tHtini if till' Nvniiiliiiii" aiv wrv H.-vvrv. 

T>> itv'iirl till' iliA't'liiiiinvnr tjf riraiijiiirv miiuI] IiIiMck 
t«hitiil<l !<(• <'iii)tl<ivr(l, uiiil iJtiKiUl IM'I Ih- iillowfd to n-nmii) 
tim loDfr ill (imtiu-t wilti iIk" wiirfiNT, ami nmttinriiliit [>rf|)a- 
rntiotiH NhonM luit U- i'm|>liiy<.-<1 in ««« »lii-n' n-iml iir 
viwiifil irnlatiiiii Iiiij- cxi-tiil it i-i |in-si-iit. ]( ji Ntiil lliilt 
Hlmiit^iry nmy u\^i \n- itviiiil<i| liy iiiixir{H)r»til)g ii])iiiiii mid 

|nitn|rfiiir uitli tlic miitlitiriilitl iiniili'. 

A'/wi ttmufiiiin /oriior iiimI i^iforo/oiin tiuiy W 4>tni»loynl 
III |)ni<l(i4i> mpiil v(<Hit»liiiii, n few ilmiKH iM'ing jiltm-ti upon 

I till' Mirfiui' i>t' tlic txuly and <Mv*Trtl by nn invi-i'b>(l unti-li- 
[;1aj!»> t<)r a fv« m'uuiu*. or lint MUtunitLiI with miiiii imi- 
monin ur •-lilunifonii iiiiiv U- |>lm->il ii|miii itif ^Cin iimi 

[rtivcnti with Mtixi^l jm|XT i>r oil.il i-ilk. Killn-r iil" xUvm 
n^i'titii ti]iplic<l ill this iiinniicr. iiml iilli>wi<(l to ix-tmiii in 

|ifiiila(t witli tlio fkiii liir riDfx'ii niiniit4-^, will priNliicc 
iiiiu-kiil Vfotinfiiiti. The blinlrn' rfiiiittitig trmti tli(«u 

' nf:rnt-> im- |uiiiiftil, mid tiwy arv only to \k uittii whrn.- u 
rnjiiil n--iili i" di^itrii. 

Si/i'alf of Kilrtr, in « r-lniiiir Hiliitiiin "C in tin* li>riii iif 
tlM> fu>li<l Mii'k, limy 1m' n)i|ilii-<l to llu- HiirflHr ol' tlii> nkin 

fill nrxKluni' n *inmli-r-irritmil I'lrw-t, Nitrate- of itilvcr, 
n[>ti1i<.-d by ilrnninj^ tlir nioisl Mirk iu-rr>M tlio )*kin nf (hr 
M'rriiiim lit II niinilicr of |Miinl^, wil4 fiiniirrly ii |Hi|iiiLir 
fwnu of tniiltiM'Dt tor «cuto oiiidiilyinitU. 

Aa'i'irN<Ti'HK. 

(Viiinlvr-irritiilitHt is vifwhti by lliif invlliod by tliru»liii|i 

luted Diitllifi drvjily into lb>- »ii)M-iiinni?tiiii' ItSHiKfi. Tlti- 

n<Ti)ln><-iii|iI<>yHl filioiiM lN-of«t(i-l. from Iwn In Ibiir iiii'ltm 

ill lrnt;l)i< hlnoi^;, bi(;tily lu'li-lK-d. mid r^tiiirp-iKiiiitiil. iiml 

iiliiiuki liuvi- rmiDd iiiHuIliv iKsdn or W- tixtxl in buiidlo. 




mtrOH 8UK0KBY. 

(Ki|;. 103.) Ih-r<>n> Ix-ilij!: <>'^'<l ')■<'>' "li'^ilii In- ullitwiil Id 
rfiniiii) for ii tV-w minutes in IxiiliiiK wnu-r or in ii t-nr- 
lMjlim'<ltu)lutuiii to thoroughly i!loriliM-Utci». Id iM-rf'tnii- 
in^ tiie n|M-niti(iii of iii-ii])tin4-tiin', 1»i«l- 
ilM» (<ont:iiiiin)f itii|K>rluilt iir)?tnH, Inrgv 
t>loo<1v(«M'k, til*' joints, itmi virxvin, 
Hliniilil !» iivoit^xl. Wlifii iiitnitlmvcl 
lht> mttllv'i slioitM l>c |X)HMil llinkii)ili 
\)tp skill wilh II mliiry motimi, the Hkiti 
lipiiig ri'tKicotl ti'iiw InHwi-iii till' ihunih 
ami RnipTK, iui<) piiHliiil inin ili<- iln-jM 
walt?il jitriu-tmTw. Tl»\v «rv iillowctl 
to n'liiiiiii ill jHnilioii liir !i fvn iiiiuiHitlH 
iind iin' tlicn witlidniwn, iIk' xkiii In-in); 
Hi|i]i<iri«il liy t)i<- tliiituU aiKl fin)i;vn4. 

AiiipniK-ttirc tuix Iwcii fmnKJ vf (*itt- 
vi(<c in (iiMw of 4W|>-M«tr<i) m-iintlftia, 
nMiitnu.- rhfiiiitiitic ntrfiiionH, and od- 
uti<». 

I88CE8. 

lmo» iiri' ulwM luade intentionally 
l>y t)i4> ii[>|ili<nlinn of i-atHticK, tliv mnxa, 
«r lli<- knife, Tlicy arc imt "(Irn cm- 
|ilovnl til llif [in-wni tinw, Iml wt-.n- funmrlv n |M>)tnliir 
mnitin iif tunning lon^-tiuitintiiil t'ounU'r-irnliilion. In 
iiMkiiii; nil iwnic, n ri-^inn Mas nclec-tnl wIhtc l\w KiiU-iita- 
iicoiis <vlliilar Iircih- wni^ aluiudaiit, aiicl wliii'li was frtv 
fmni l<>>1>^* UlfMalvitwIfl luiil itorvm, and n<rf near (Iii^ 
jiiiiitfi. Thv |i1iii) iiMuiIly iid<i])ic'<l wiis to a|i|>ly ovtr llw 
Miirfmn' of tlip -■'kin n pitii- of aillit^ivi- pLi^dT pt-rrnraliil 
in till' ii'iitri'. A Hninll jiifn- of niiiHiii' |h>1iu<1i or Vicnitn 
niiinlii', iiiixti) witli wntiT to iiiaki- it a [ttaU; mil* )i1ihxiI in 
iIh- holt- in I)h' iutliii>jvo jilaMtt-r, and liHd in iHi^ittion liy n 
niri)) of lullii'Hivf jitiiftiT. In om- or two Itniirti iW (iliifilcr 
vilioiild 1m' ^■^)o^-ltl and i\w [mii iilioiild Ix' unrilxtl witli 
ililiib- wid tr) |ir<-v(-iit ftirllur ai-lioii iif iIh- miuilic ; m 
)MUilti<v •>!' iLuoHtl kIioiiIiI iic.vI Iv a|i)ilii'cl, |o hiuttt-M iW 
M«*]u>nition of (h<- nlongli. Ttii- iiln-r ri'maiiiing iitier the 



DMdiM. 



I 

I 




IKHUICS. 



169 



nin4>\iil tirtlii* i«IiMi)fli may l)e k<-pt fr»ia hmliii|£ by intro- 
tlttrinfc inUi it n hiiuiII wiMxIi'ii Imll kiinMn an an msik pea, 
or n (ila'ci txnvd nr |i«'l>bl« lielil in pUce l>y a couipreiiii and 
M"il(cnivi' strap. 

Tkf J/(xnt wx* fiiriiipHy HsmI to make an isHiie ; it «)n- 
Htflttl nf a .Htnall inam of wimo ounlxisliMt' iiialcrial, Mtdi 
tu< {Hiiik, »>!('>□, or lint, ntllf^l into |iyranii<liil 
p>lui|it', vrliich vnt!* platvtl ii[w»n tht^ Mirlaiv ne.vtt 
of itiv IkkIv mil) i)[nitMl ft atf to pmiliicic an 
<^-luir iijKHi lilt-Akin. Toliu-ilitjiK? tlw niipti- 
mtioii of ilic laoxa an in^lniniont rullcti iIil- 
{■■>rli'-in>ixn (Fij:- 1"') ''■ ('Uintoywl. Ttic 
IntKim-ul 111' (lie isiliar n-«iilliiij; I'lfmi tliu 
niiixn i.<) (li<- I'anii' an tluit retuillin^ front tJiu 
nw> of iraiisliv iwitasli. 

'nir knifi- was also i-iuplovn) to cstaliliiili an 
iiMH', n rniWiil iix'tAion ticiiig iiuult' tliroii^li 
tin' nkin ami <vlliilar linsin^s into ihr ilivo 
lt!«>uiTr> ; tlif iil)}<H-liiin l>^> the iiM- of the knilc 
in fnrntin); an Ikmiv wiis thf <liflii-iilty in \>rv- 
wntiti); t)ie mmml fnini liraling. 

Thr Srinn, — X srton la a sulmilaiiFniiB Potte-moM. 
■inuN, or nil iHSiH- willi iwo ojH-nings upon Hie 
MirGui*. wliii'li is pn'V(>iiti-<l fnmi hwiliin; liy tlip intro- 
(Itiniiin "-ra liirt-icii Uwly. It in n-iMitUt^] hy inlnMliiciiif; 
a ll'w "trtintl* of filk, a narrow strip of linen, or a rnWivr 
lipiliirv, by nu-nns of a wtmi-n«ecll(^ C""'?* ^^^)> '"■ ''.^' 



PU.M. 




MdMMBAIa. 



MIKOB aOROBRT. 



i»i-aiif of II iJiuqi-twiinlcrl Insiotin' Hn<I an emi prolte. 
I'Ih.' M-ton-iimflli- should Ite |«isse(] iWph^ inbi tUv eu\irT- 
RcM fiiM;ui, rnri> bciti^ lukcn to avoid tin|K)rtiiril vpitw 
mill rHT\'w^ 

A M-tiiii tiiuv iilwi 1>t< rfrUiMishcfl Ity piiirliin); up » fiild uf 
itkiti uihI IniiiFilixinc itx Imm- witl) ii nurroM*. »^liur|i-|>i)iiitiil 
bietour}' (Fig. IW), ami |MUwiti|; ihruugh Itu? n*otii>U tbiu 

riu. iML 




IMhed of (brmlDf > aMim, 

iiumIc nti cvrd |»rr>lM- uriiRx) witli ii (we KtnuMU of oilk, n 
)(lri|i of niiitlin, or nil oliiftio ItpHiirt- ; \lw )>n>l>c ii> tlx^i 
rt'iii<>*"cd 1111(1 tlic f»iU liujwlv tic«t togi-thor, 'Ilic vtoudiI 
iJtiKiIil In- ilnivr<l, and m tw)) t-liiiR(^- of llii> (InfMiiif; tlii' 
"Iriii -liontil !»• n-inoviH), or it tiiav In- niiii-imtl wild mhiiv 
f>liriiiiliiliii>; oiritiiH'iit, wbicli tun lliim If IitohkUi In ixiii- 
tiu-t H'iili tin- f!Rui 11 lining Htirfncv t)_v tlmwiii|f it lhn><if;ti 

lll<- Wo«lll(). 

Acn'Ai. Cauteky. 

Thin niHltofl of rotinbT-irritatioo la »tx>iiiiili»lin) bv 
tirin^liii^ !i) i>>iitiii'( with the •tkiii ^viiiir Ri<>tatl)i<' hiIi^Iiiikx' 
lirtHi^lii til II lii)*li ili^rr'<' cif t<'iii}H>ratiirf. This muKlitiiNv 
OIK- »l' iJu! itKMl |M>worfu) moaiiH of <^«)iiiilfr-irrilntiiiii ani) 
ti'vuthioi); il i.H rB]iirl in ilMwIioti, sitil is not tiion- iMinfill 
timii Mtitu- of iIk- i<lowL-r niptliodii. The (wiiU'rit-M p'lu-mll y 
(•lii|il't>t<il iin' iitiulc i>r iron, itml iin- fixed ni luindltw of 
»<■■! or oiliiT »oii-<yiridiii-tiiiK iiinU-ml, niid Iiiivt- tln-ir 
i-xtniiiitiiit faiihioiiiil in a varii'ty of «h*p« (Ki^. 107), 



AOTITAI. CAUTBRY. 



171 



Tbr imnn iin^ )tmtfd liv |iliii-iii^ llicir cxtreiuilii.w in im 
itnttimi^' tin-, iir l>y titililiii)! tlit-iii in i)ii> flame nt' a i*[>iric- 
liuii|i iititil tlu-v iin- Ik^Ui^I ut till' tlt-sini] jtoirit, i-iltior 
w'liitc itr diill-n-*! liciit. Tln;_v an- then n|>|>liiil t<i lliv 
■Mirfacv i>r tli<' Hkii) iil ntic jHiint, or dniwii itvi-r ttic skin 
ill liiM* litluT |Nini)l<-l t" <ir ••ivi^'.iii); ihk- aiirttlnr. Tlu- 
inti-tiM* Immini; wtiidi f(illnts'i> iIk- use nl' tlio miiUTv iiukv 
!«■ nlliiytfl liy i)lui-in>; iiimii ilu- n>ntiTj--niarkR ixiinjiniw's 
wniri); ••■it in iiv-tviilcr or siitiinitisl with ttiiinl \mrVi< »f 
lii»c~wiiicr will nwirt uil. 

m. Iff. 




OuUrjr Inn*. 



U'ltt'D' thp <tnlinary <«nUTy iroiiH am not at liami, a 
fil<fl knitliii)'-ii«Filli> or inm [jokcr h<-atc<I in Ihf Haiiw n( 
a B[itrit-laini> or in a fin- may bo (inploycd wiili t<(|nally 
MilixIflciDry nvtillM. Wh«re tlie catiicrj- irtin i» hold in 
iiiiilnii with llic etirliu;*- fnr Mim« limi* lo make a deep 
hum, tix- ]uiin of if' iiiiiiliinitioti may \w alhivod by |tliM-iii)f 
a iiiixtiiri' of Hull iind rr.ii.'ki'<l iiH' nptm llic )i|Mit In i>e 
miKcriiHil l<>r a li'W minnu-ii inuiuilintdy Ix-t'nn? ilM H))|ili- 
mlinii. 'V\tf tmiiU'ry iron should not U' |>I:wi'<l ovi-r tin- 
xltin iiivcriH); MnltL-iii |iurt« of ibc skcletuu ur ox'vr ti»|xu^ 
tanl iiri^ni^ 

Th<- Hi-liial <-»iit4-ry lliibt a])|tlic<l, in ntldilino In Ua um- 
in |in>ili)riitK iiiiinU-r-irritiilimi aiMl n'viilsion, ih iiDm 
r'nijilKViil t<» iwilnil licmorrtiagt? and to di'iilmy morbid 
gri'H'tn". 



IIIKOR SUROKItV. 



i*A<JtTBlJK'N TnKR)l<M;Atn'KRV. 

A very nrnvL-uicnt ami cffii-teiil iiimris ot iimhj; (Ik- tin 
iiiii-iiuilrrv is tlti' u|>i)ar.ttiih nf l*ni{iii-liii, wlih-)i iitilim-* thi* 
|m)jMTt\ (if I)i-jt4-<l jiliitiiiiiiu-^)H>niri- til iHiviim- inf-niidrwrni 
w'Ikii fxiMii«c<l Ui the adimi M' tin- vniwir of \n:nr»)v nr 
HiiKiik'D«, (Kig. 108.) Th« nuilcry t* |m'|Hin<«l foruw 




n«1NIIV«MM«ry. 



Iiv itiliu'liui^ tli<- Kum »il"- I'l llx' nxi-!vi-r <i>niiiiiiiii;; Inii- 
nilr uikI hiwtiiit: tilt- jiliititiiiiii kiiifi- nr Ixitlnii, wtiiHi U 
iilfM) alUiHio! til lln- Iff-nwilc nii-iviT bv « hiMmt ttihc, iti 
tlic Hniim' iif (lie itli<ii)ii)l liuiiji for u fl-w iiimiiiiiiK olid 
ihi-ii |aiM>!iiK lh<- vn|)<>r <if Ih'Ii/>>I<' tlin>iii;li titc |italtniim- 
"(•■•iit^-. whirl) in ■tii-liiH'tl ill III)' knifi' nr litirioii, liy n>t»- 
linwi))! tho niliU'r liiill>. TIh- |i>tiiilt« nuiv !■' ImMiglti bi 



80ARIP10ATIOH. 



173 



a lii);li iltin^i- tif hiiit, or innv Ik: hmiiKlit utily t<i n iliill- 
ml lull I. 

Tliw fiimiof rtinliTV Jiinv Ih- nnpluvi-d Tur Uiff^iiiitr |mr- 
ptwTM uo tliHt |iiT-vHiiii'l_v mnilioiHil ; itf cnnl nilv»iit»p;i^ 
ntnowtn in th** nuv witli >vlii<'li it din Ix- iimmnil for iiHt-. 
TIm- knivitt lu-nii-d to iicinll-ml Ixnl will lie fumui iil'^rmt 
wniiv ill •ijti-nitiii}; (i|><»i viwiiliir 1iiin<ir>, whi-n- iIh' iiw.- 
■if ail unliiuirv' kiiili' wntilil \h- .iiittiiiiiiitiiiil liv |inifii^' 
or rvfii •lnii<^-niii!i lu-iih •rrliii);*-. Winiiiilf iiinili- In' (hf 
iHliuiI muUTV nrr iiM>i>t)c vroiiinU. iiti<] whi-ii (tunU<if uitli 
imlornnn wifl p-n<>mll}- linil |>ruii)iilly uikKt thi- miiIi 
uilhoiit HiipiHiRitioii. 



Bi-ooni,BTTiso. 



ITliis priM'nliin* U nikm rciiortrd-to to obtnin 1h)|Ii llit> 
MiO and tin- jp-ncml cfltvU fciUowii^; the BitlMlinwjil of 
IihhI from tilt' (in-iilNttiin. IxK^al ilt-jiletinn b atToni- 
ItxlMnl l)y iiu«nn of home ono nf llie follnu-in); pni- 
^Itlfw: ^mrifieiiHoK, pnnHurnlion, mp/iiuif iind teefhitiff, 
matl gnnrml >h-]ilfti<iti U i-Hii-titl liy iiii'itiL'^ of mtewK/ioit 
II r artaiolouig. 

ScAUtrJCATlOJi. 



w 



I l iii 

m 



Anriliiiitlon En pr'rf(>rmi<<1 by mnkliit: i^iitiill iintl w>t tui> 
ilti-|i incixioti- liilo 111) inllniiKtl or iiiiip-nUt) |>:ir( uiili a 
itliitr|r-jHiint"<l l>i-t>iiiry : tin- itir!<>ioii)> tUoiilil tic in |iiinilli-l 
iiiiT- :in<l mIiciiM Ih- iii.tilr to ■■•im-<|ii>ii(l U> tin- lon^ axiH 
till- jKirt, nixi t-arr kIioiiM Ih- tiiknt iti iiuikin){ tJicni to 
void wmmling Mi[M'r1ii-ial vcinn iin<l n'TV<-H. Iiii-imoiih 
(tin- nuult- n-tit-vx irnoion by nllowin); I>Iihh1 iiihI <K-riim to 
"Hill- fnmi till- I'lifpin^il (TU|>tll:iri(> of tin- itiHItmi*')) 
■W of tlio iKirt- \V:irni toinriitiitioiiit ii|>]ili<i) nvrr tin- 
irioiiinn will iinn-iw iiml kii-p iiii tin- flow of bl-xxl jind 
mm. S-«rifntniiiM i* ••iii|>loy('<l witli ndviintiijfi' in in- 
iiinintory iiiiwIilitiiiHuf llii-)>kinnnilr>iilK-niimt<onf<<<<-IUiliir 
iwiif mid in lu-iiii' indiimmiitury i^wi-lliii); or •itk-tmi of Um' 
iHimn mi-nibmiH': for iii>fiin<r, of tlio <'(injiiiii-li\ii, iind 




174 



MINOR SUROKftr. 



tn HcuU- inflnmiiiiiliiin of tlw* triiiHilo, hHiirnr, iini) <-]ii|f(<iUi» 
it i« iin f*)(ifiiill\ v«ltuiKli- |inHi-«)iin-. A iiKililii-niinti nf 
Mitrilii^Min kriuMii tin lirrft inemonM in pnu'tMi] in uriuun' 
intiltmljon h> n^nMi-h ilmiiuigi' nnd rclic\-r dit' timiu* nf 
tltrnihljiiiMtl tiriiH-nn<)l<>|>n>v<iil ^loiiirliine: in thn-olMMi) 
piiifnx-i"' a'i'l iililcftinonmin m>i[>(-Iiui tin- mwv \iT^*-*AnTt 
U> a')i>|i(iil t» irlirvi' tt'ifinn bv jH-rniittin^ ■>(' tlii' iTartiiw nf 
l>l<i>it) mill M-nini, iinil it> «-iui>i<>viii<-itt tf> urifii fiflliiMvil 

b\* tlKMt NIliaflKtlirr TWIlltK. 




Pl'NlTUBATtOW. 

Thiii [tmcvdun- cnnniitri in nuking ]iun<1urH, wliit-h 
should not exU-inl Hwixr than the stilR-ni.in«iiw tinsup, 
into intUnied tii«<iia^ willi tlie jwint ut' a fibar)>-poinlcd 
bistoun- ; it i» an opcratinti similar ia chanct^r to lliat 
just <](r!M-rilM^, il^ itliji^-t l><-tit>; to relieve ((iifiiin and lirin^ 
nlHMit ()<']ilt-lion. It i.'d ('ni|)lom! in t-.tNes !<imiliir to thow 
in M'liii-)i siiinli<iilii>n is iii<)iiiile<l, ami i^ n^trtcil li 
niMv of ()i)1\iH- ari'oliir tiiflinnniation or ervfujwUiH, 



CUPPINO. 



('ii)>|iin)f iri -A (titivroinit metli'iJ of ('n)|itovin|f KmhI 
tU-pk'liim l>r invitine lli« blo«Kl I'mm thv 4I<<i-)ht jinrts lu 
ll)<- Hiriuco of tlte skin. Cupping is anvniiiliKhwi Ity tlio 
iiMr of tcri or dry t.-iip»% AViH-n tltt' fornii-r art- nrvA, no 
I>I«ihI U almlnirtitt ami the tlcriviilivi- ix'tion only i» ol>- 
laiiiiil ; when wvl <-n{v» urx' I'lniiloyitl \\ivTv w iiii iwiiial 
ulH'truiHion of l>lootl or ioiiil <li'|)h-(ion iim Wt-ll im ihr 
drri^-ntivt miion. 

Drjf Qijipint/, 

Orv i-ii|H iiK Knliiiiirilv ii)i)ili<il iiia-ixi of hiiuiII ni|)- 
i>liA|K<il ((lnMMT<, ivhii-li hiivc II viilvc iiml ><Ii>|m'<h-I( iit tln-ir 
Ninnniil ; llirM- nn- \Aikntl tt\n>n the* altin unit nn iiir-)mni|i 
in nltarlicl, luut im tlit- air ik exliiinntnl in t)H- my the <-<jn- 
gi-^iitl inn^nnii-ni ii^ m-c'ii lu litilj^- into ihr twily of the 



I 



ODPPIKd. 



176 



m.u«L 



mp. W)i<>ii the ox)iniii«linn i" iiim|i1ct« tlit* Hloji-onrk in 

l^liirnoil aixl llif :iir-t>iim(i in rvmuvi-'l, itu' ni[» Ix-iiig allotveil 

^■p n-iiintii iu ]Mv^ition li>r a few n)iiiiii»i, and 

^^b thfu ii-iuovi'd liv ttiniing; lh<- !!tt>|i-<iH-k and 

^■llowin): thv air a)[ain to cater 1Im> oiip. Thit> 

^^riM^liin- ill rt'|H'atc<l until a auffieieni niuillM^r 

^^r<'ii|n' have hk^n ii\i\i\ii-*\. (Fi^f. ll>!>.) 

T In i-a-ii'*- >i(' fiii>'i*p'nev, wlwn tlif onliliarv 

(ii|i)kint>-;;la>'K-^ nn<l nir-|>iiin)> trannot he olt- 

hiintt], n very Mili.«far1nrv siilMlltiile may lie 

otrtsiitnl hy iiikiiiu' a win^yliuv and Inirninji; 

in it » little roll *)f |>:i)X!r, ur a itniall iiiccc of 

littl or \Kt\teT uct uilli iitn>liol, nnit iM-iore ttie 

fltiiiii- IK cxtinKiiiKlidl r»)iiillv inverting; it iijkiii 

t)i<- "kio, or tlie iiir may be exhaiftitl l>y tlie 

^jjUnxliiHiiin, for a monu-ntor two^of the Humt? 

^■f u HiHrit-lam)! into lh« cup. Applied in this 

^^laniHT eiijifl will draw a« well as when ihc 

more 4y)uip)i<iil<>l npikinitii»4 b> umxI, and when 

they are rvnioveil it i^ only neeet^iri' to prcHH 

^^tiie tiii^^T on tlie nkin el>.!* to the c<lj:e ol the 

Hlai) until air enti>rs the cup, when it will fall 

j^ftff. Altliouizh clrj' eujw do not remi>ve hlood 

lltefe L" often an encape of htood front the enpillaries into 
the ttkin and eellular lisNn<-, u.<' evirleitenl by the etvhyniofib 
which l'ni(iieiilly remiiiit» at the ixat of the cn]>-marks for 

^^ I *ry eujif, a» previoiwly litatnl, ape emploml for tbor 
^Bprivntivi' union in caHen in which depletion tB not incli- 
^blinl. 

■ HW Vuppimj. 

w 



Slaa anil 



When tlie iil)«tnu-tion of I)IihmI ha uvll lu* the derivitlivr 

ion if il»^ire<l wet i-nm iiiv ri-*irt4Hi U; arwl here il lit 

iifHHury Ik have n ncunlnvlor n» well iix the rii|>-< ami nir- 

|inm|i. (h'ie- I I'M 

Itcfon- iipplyinfc wet eti)M (he nkiit xhoiild !■■ wii;<hr<l 
i-nrr'fiilly with n eiirlmlir Milntioii, ami the ifiiritiditor 
nliimld lUwi Im dippiil in ii (arholie Miliiliou. A itip Im 



ITC 



MIVOK •VSflBKT. 




in< affBtJ I* fnian eapofrml naprtimi of lh<- -kin ; 
Ika* ■- f^mni aal ihr varifiotar •• HjiplUil, ami the ^kin 
■» ttt by fpnaeiap dw bk&s, and tbr ruM urv iniiiM^i- 
MrJr afifJi**! aad rxlaartnl, aod ikv an- kpjiI in |i1mv irn 
Vmf at h h ipj oootiltaiy* I" flow. 
Wlm tk» Tvcaam m tvlmiixlMl 
i«l Uwd cona ti> flow. t(i4-T 
•bMdd I* wwvwl vmI i-ntiilMl, 
•mI «an )v frnpi'ltnl if it h dr- 
msfalr Ik n^now a>un- hliBid. A 
aiaqt-fBUntnl hk<iHir>- whi>-ii Ita* 
'" u itiTiliard buy br riii|>l<it><(| iii 
.ikr a frv ianNon^ iiiin r)i>' nkin 
:i-4(wl uf tbt fcmrifiraUir. mxl liti- 
itJip m v iw wJ mp« nuy W ftti)i)i<vnl 
if ibr nnlinan ruii|iitif; n|>|mniinA 
otntHil Iv olttnimvl. 
of wi-t rupn ihr fkin «)hhiI() iHr 
n liii-liloriili- i.r mrl»>lir txillitiiin, 

iivrr tbir 
wnuoili' U)(l brtil in jibin- hy a rulirr l>aiMla(!i'. 



After tbc mnoval 
wivlinl titn-rnlly witt 

' and nn antt^-iitM- Jn«*in^ ^tHllltll U- ]i1b)W 
jfiil 



hnrruiso. 

In tilt- altf^tnrtifrti of blood by leechini; two vaHctii^ nf 
liivbf* on- iiw<l — ll»e /liWTi'viii l«vb, Mni^^l <lniH> nlxitit 
n fiialioi'iifiil <yf lil'HwI. awl llii- Suvdiah livt-li, wliii-ti ilniwfl 
ihnf or four tio«|w«.n(iiK 

Itcrop* iiii|ilyiiit; Imx-Ihv Uk- nkin iJinutil U* iiitvfiilly 
wipilitil, iiikI tbt- btvh Alidiikl lie |>lii(^-<l u|miii iIm- (art fruu 
wbii-li tlif bl'Hol !■■< I'l )k- ilruwn, and cotifiiiMl to fbiti pIjMv 
by invrriin^ n iiiiiibbr or u^ann jar «>vi-r biin ; if br •Iim<« 
iiul bill- iir tiik>' bolil, II litilf milk or liloixl bboiilil U- 
■ntivn'tl ii|>"n iIh- f-nrfin-'-, wbirb will K<-tH'mlly •«-(iirr IIm* 
dMin^l r)*till. An whih »» iIh- \ivrh litv n-iiM-<l ti< ilntw 
ItliHHl III- !>■ ii|>t to l<-( pi biM hobi iiikI fnll off; if. boHt-vt-r, 
il i» iti^inil lo n-iiiovi- Itivlin^, ibi-v may Im- tnwlr Iti b-t 
)[■■ ibrir bolil liy ■jintikliiitf tlu-iii witb ii lilll" xnU. Aftvr 
tlti- rt'iiiiivul of Iit'i'liiK blifiiliiig Itiiiii tbc liili-H tuny Iw bd- 



J 




LBBCniNG. 



177 



COiini|;«<(l ifilifintMc- l<y llic ii)i|<li<-»tKMi of wnriii liiiitcittil- 
Hon. lrfi<('lt-l>ili->- aIiuiiIiI Ih' niinliivl with ii )>it')il<iri<lr or 
««r(Kili<- fmliili'Hi, iiiw) 11 foiiijin-w >•( liii-likiriili- or iiHliiliiriii 
gauM- nliniiM l>c iiliWTtl tiv«Ttlu-ni:u») Hfiiixtl 1>,V u IuiikIii^O. 
It wNiMtiiiim )ui|)|H-iii' (hut fm- l»lM-<liri^ nttitiiiiK'n from 
the luT-li-biti' iilU-r llu> rciitoviil uf iIh' Unvl)t?i ; in t\m 
evfut, if a ii>iniini»« i)ih-«> t»>l irmlnii the Iii'imirrtiiif;i.-, tin* 
t)l4'««lini;-|N>uiI rOiKiilil 1m' loiiolicd willi ii ntlfk of iiiimt*' of 
Mlvvr or wilii ttw |xiitU of ii cU-t'l kiiiltiiij;-iuiilli- litiiKi) 
I<i n (lull-nil liiiit. iiml if (liif thili I" <i>iitnil |)iv t)li<itliii|{ 
II tlrlittitf liiin-li)> |iiu mlioiild Ik' jum^iI tlimu^li IIh' xkiii 
tiiuirr til)' l>itc tiitil n tniMtitl Mitiirc Hlxxild U' thntwii 
iiukI ihU; llir woiiiiil ;<lioiiI<l itx'ti Im> 
ilml mill ilrvimul «>• iiri'vioiiiU' iliwrilHtl. 
Ill Hji|ilvin(; liit-licx ill or tu^ir iiiii<i>ii.-> 
vttii^, iiin* -liotilil Im- (liken to «■«• lliiit 
ifv ilii iiu4 »H«u>' into till* I'Mvilii'M iili<) jni^-^ 
III of nwli. lAHt-hi.tt ^loiild nut Im.- I'lii- 
>_v)il (lim'llv over indiiiiui] tii»<K<, Iml 
mill In' npiiiiul to |mnn fiimvtiiKlint; it : 
ty iJiiiiiliI iKtl Ih: iiIloMiti lo tnkf liulil 
tlinttiv oviT II >m|nTtii-iiil iirtcrj'. vi-in, iir 
^^irrvc, ami "tioiiM iicvit Im- H|i)>lt(<(] to a 
^■j^n wlii-n- tiwiv in ili'liciitf nkia niid a laryi- 
^Kdi'mhiI of liHiH<' •vlliibir tiffiir, im in tlit* 
^H^'vlitl or •(■roliiiiif iin iiii«i}ihtlv itvlivniiiM-n 
' will r"-«iilt, \vltirli uill jM-i>i"t (or winH' time. 
iiHt-lif- "lioiilil uol Ih* u<«h| a miivdJ l)nH% 



KM Hi. 



^IjiH't'li 



Jfffe^anicaf Lreeh. 



iPiuM'liiliiii'nl Ifit'li Uaiia|i]uimtii<«wliii'-h 
ban Imi'Ii ntnrMnHtiil lo take tlii' (il:ni' of ^ 
till* liiH'li ; it roiihihtN of :i Mnrilii'alor, liiii) ImitIi. 

anil vxliiiiihlin); Hvrin;:*- or aii'-j>iinili. (Fig. 
111.) Ill iLsint; lltiM a]iiianitiLs utter tin* !«»riftiiitor liii." 
Iiivii iiM!(l lilt! [liMoii of tlH- e.'cliuuHttnK iiiHtniiiii-iil hIumiUI 
lir ilrawii oiil itlowlv, wbicli (w«ircs n iwlli-r flow of IiIoimI 
llmti if n »t)iltlt-ii viH*iiiiui is niaitc. 




178 



■TNOB SVROEBT. 




Tkr BHxlttaMml b«nh ttM\ W rii>[Jo,vitI wliiii tlir nntiin) 
•«nn<4 hr nbtainrvl. lull {hwm-Ni^^ mi n•l^n^ll^;l■F- ii\trT 
tW kttrr. umI ■» apt tu |^ nut <>!' onk-r if imt in vututtuit . 



VmrMVtiiin, a» it» naiw iai[t)im, oMLiUtH in llir diviitinu 
(tfa vrin.ami it i!" ilu- itnlinai^' cfM-nlHin i>y wliii-li jn-ncnl 
tlt-jt)rti<i>n nr Itlmlit)); i^ aiwnijiIii'lHtl. VctM-wi-lidii ul ibi- 
bdwl uf Uw tflUnr K thr i>{B'ntlt«ii n)ii<'Ii !.- now iiMUilIv 

H WOfte J to fiir pMX-Rll liliimlli-tlilli;: \hr Vf'itI AI'Us-ltH) In 

Uw nnluui i'<-]>)ut)i>% wiiii-h i» itirtliiT Tnim tltc line of thu 
hnHdttal anrr>- tluw tiw mnlian l>b>ilk' xtuu. (Fig. l\i.) , 



rH.tti 




(Hum-) 



To iMTfiirni veniwi-ltiin tin- I'liiv*'""' rrtiiiin-s n l«i*it(Mtn" 
*tr Ibiiii'I — \hr xpritii; l»ii<vi niui li)niii<rly itiiu'li itMti, Imt 
it in not •■nii>l«yi'(liit thi- imfa-tit tinif — n-vcml IhukIoiivh, n 
Miial) iitilJM')irir lining. hikI ii InliJii Id nivivv tlu- IiIoihI. 

T)h- jmliciit'n nnn nhmiM In- mrrfiilly rlciiniiMi, wai>lM<<l 
nvi.-r H illi n hii-liliiriilc M)liitiiiii, un<l » It-vr liiriiH nt u mllrr 
lain<litt;i' -ilioiili) Ih- plmiil nnxithl llii' iiiiiMlf "f lh<- nmi, 
iH'iri): ii|i|iliiil liifliilv •■notiijli In ■■Iwtnit't llu* \'t'iiixtA cirrii* 
Inlioii iiikI lunki- iIm' v'w» WIow Imikim- |)n>inincDl, lint 
lutl u> iilnlnti-t iIm- urtcriul i-in-iibiri<>u. The pntii-nt at tliv 
nuiM* tiair nliiiiihl Ih- itiHtrut-titl ti> irnu-ti n etU-k w m mllcr 
bniwlncc iiud nork liii t1ii|'t-r ii|hiii !l. Dtc Himii>n sltimh) 
■Uixl imim- hiiiii'ir lluil tlwrv in mi alitiuniuil iirliTV \'C- 




TRKKSBCTIOK. 



179 



tlie skin, ami havint; iwltilt-d the vein, the im^ilian 
n-|ihnli<- Itv |nvfi*rciu'o, ho ilipii riteadicv ilio vein witli hut 
iliiirtili imd i«."rtt« tin- (wunt tit" tlu> biHtwirv or lann-t l)«- 
rii^ilii it iiud nii^ (|ni(^kh' outward, making a frtv §kin 
i>ptiiin)£. The bhMtd umially eMnpes freelv, aud the 
nmouiit withdrawn Li wpilated l)y llie rondilioii of th* 
jml-^' and the ap)Rumn(v of ilie jiatient. For this n-ason 
it !.-> I)elter I'l have ihe patient sillin); up or i*nii-pe<'iinin); 
H'heu vent^-«'lioii 13 jMrl'iiniiMl. an the siirgi-on <«n judg« 
U-H»T a» lo the f<t>nir<tiluti<inal efflvts of the loss of uIockI 
iiliile the jMilieiii is iu tliie jxt^itioit. 

W'lien a wifficient qitantily of hlood has been winovi-d, 
the thuiuh is plstied over ihe woiinde«l vein and the 
bandage ia reoiaved from the arm al)o\e. The wotind i» 
next wanfa^d with a Im-hloride tnjliition, and a eoiiipreKM of 
tataejttic gauze it^ appli<>l over llie wound nnd iield in 
pwition t>v a bandage, whieh ttlioiild be Bo applied us to 
rnvrlop [lie Hnih front tlie Kn^-re to the axilla. The 
dn-^Hirig m-ffti nut lie di.itiirlK'<l for live or six days, at 
whirh time (he wound i^ ufually found to lie h(^ile<t. 

WonitiLi of tlie lira< liial artery have <HX-urni-d in opening 
the vein at the U-ud of the elliow, Imu if <»re in taken this 
utvictrul tihotild not tuke pla«:e. 

VCTM-rtivtion may be |»ra(-titi«il on llie nternat Jutfular 
trin when, from esdctwof fat or in the raw of ebihlmi, the 
vein.- nl the Ifend of (he ell>ow (tiunol Iw ea-nily found. The 
vrit) Lh rendere<) nroniiiM'nt bv ])lar'iu^' (he thunib or a jmiI 
over the vein at (lie outer eiige of the ;i[eniti-t'lt'ido-in:kf loid 
DiitM-le just aliove (he ilavieie. The vein iw nest oiieiM-d 
ovi>r thiii niUM-le bv an ineision tiarallel to itit fibres. Al\er 
a unffiehllt ijuaiility of blond liaH e.tcaiied, the wound tn 
watlMiI with an aiitif^-ptie wlulion ami ehiticd by a 00m- 
linvM of antiseptic gaum- held in p«M^ition by a buiiilagr 
nirri"! nntund tlie neik. 

Itlei-<ling from tbiii vein lias iM-en advoiiite<) in <'a^-H of 
n|Miplrxy and wn-brid inflammation, btit it \s ciuestionable 
whrtbrT any advamiflge is gained by oiM'tiiiig tnc exlenial 
juirulur vein over (he vein at the bend of the elbow. 

The intemal mipheiui ran is also iwnictinicH MiertM) for 



180 



UtN'tiR lii;RnKKY. 



voiu'^s-tion, and hon* rare xhoiild k' tnkcn mit Ui witaml 
Iho mitiiiiiKiiiving iirrvo wliiHi litw (lirt<(^ly IwMiiil ihr ' 
vdii. 

AnTKKIim)MY. 

TIiIm ojwnilioii is liuw (wrwly wt-r |>iTri>nii<Hl, hut if 
i\mw l)iv v<w<-l ^■ric-mlly M-ltvtcd iit tin- iinti-rlor liraix^ ■■C 
Uic (*'tii|iortil urlt-rv. 'Hie iHwilion <>!' ilif \tvi*-\ tn fix<i) liv 
tlir liii^ir Httil tliiiuili, iind It if o|K-i)<'d liy a truiifVi-i-M- in- 
i-iiitoii >vilti II l)i-<(iHirv. AIUt u Hitlii-ioiil ijiiiiDlily of I>1<hh) 
Itms ttx-niMtl itit' woiiikI in iiihUix-lMl.aitil it itiv v<i'wt if not 
txiiniili-t«'ly dividt-d, i\» diviMuii ui ixim|>Ii-t<il tiiid llir iiiiLii 
of till' \itiiw*l slimdd be wciirvtl with li)j:iiliin», kikI Ihv 
niiniid nhtiiild tn- wui^htil unt with iiti iintiM-^tii- M>Iiiti't>n 
nud u pitui' ii>iii)>n-F« bliuiild ni-xt hv a)ii>lii-(l iiiw) hold in 
|Hwitiiiii l>y m firmly uj>[ditil Imndiif^*. 



TuANHFL'ttHm OF BuMil>. 

1*hi.« i)|H>nilKtn mny Ih' niipUjycd lo introdiMT* » o'tlnin 
i]imnli(v ol* I>I«>hI into llic rirciiliilioii of a |>citiitil who 1ui» 
mifli'nil iVuit |tiMliiM> hciuurrhiiK**- Then- iin- two niciinNbi 
bv whii'h tnituriiftiiii iimy In- I'ffwtt-d : tin* tiurtl, by whi<-ti 
ifii' lilioid is iiinvi'vcd ilini-tly imd witlmtit i-xinwim- t<i tlir 
iiir friiiii (lit- liliHiflvcH-l »f ■>»' |H-rwiii to (lial of nnntlHT, 
nud iIh- inifirrei. in wtiii-h tli«- lil<>i<d !.■• Iii>t dniMii fmiu 
nuc |M'r<«iti iiik) in (hen iujti't(-<i into t\w vein •>( lumihrr, 
Mag fir»i dvpriw'd nf iln filirin U-linx- l»c>iii(i iitjtt-tfd. 

J)!yfet Trantffwum of lUooJ. 

Tliia ir> IhiiI iicntiiiiiliflM-cl liy iimh|; Avrliii^'-'* ii|i)iamttiK, 
whiHi iiiiixtKtH of n nililHT tiilM-. niMml fi^litii-n iiirhfn in 
Icnitlli. uitli H HuudI l>ull> in ihv <viitr)', luivinj! nirtallir 
PXtrrniilii-K iimviditl with i'tii|i-<iM'ki>,tiiid two ticv«'l-ji(nni»l 
liM-tiillii- i-nniihc tii In- tijuil l» iiitiiii-rl llic tnU- tritlt ihr 
ItltMfih'twN-lii. In iM-rliinuin^ tht'iiiwnitiou ufdint-t trun*- 
liiMiifi Ihi- tkulli iiiii) tulx' UI1- timl iiliuiil in ii xhalhiw iNMin 
iiiiiij; Hunii uitmiiil tudint' wlntiuu (U,~ |m.t cent.), niul 



TRAVSPCSIOlf or BLOOD. 



181 



tlx- litilli aiiil IiiIm: iirf lillt^l with tWir- dilution to ilisjiliuv 
utiv nir wliirli itiov (■■■iitiiin. TIti' ])ei>>i>ii sii[>]ilviii>r tlw 
UUhhI |ila>ie^ liiti itriu oi'at tin- arm of the ixiticnt. and ihi- 
••tHT«t»r cs|K>MeH a ]>ri>(iiinc[il vein on th<- juitknt's arm at 
lltt- Ih-ikI of Uif HImw ami (>]>enit it, itml iiisiTbt into it oni> 
of t)iv iiiniilir fillol with wilim- M>lii(iou, witli (lie (Wilt 
tlin'i-lii) rounnl llir Uxlv, ami al the minx' lime an ibvislaut 
Hlfxild intrtKlufv 1)h- otiicr (nntil.i into :i vc^iii al tlit- Ix'ml 
n( the clbuw iif tbt- [Mrly wim .iti|>])li(n lliv IiIimmI. 

ru. tifc 




Jt|i|iu«lit* Itn the aiHtt miHAMnn nr M*nd. 

Till' MUiuW art' Im'M in iMinitioit Uv nwtMliintti, nml llir 
tiilir in i|iii<'kh <iintu<iiiil »itt) tlH'iii, lli<< ■(i<|i-<'<H-kn U'in); 
rliMtl U-riirc It i>> tiikt'ii out of tin- wilini- ^ilntiim, lo [irc- 
vrnl llic<-i)tninc<'of air; tltcii iiixin rii>ct)in^ the !>to)t-r(H-kH 
n ilinit niinniiiniiulioii in ■■«liil>lii|ii-<l IM-Iwit'n tlx- 4-in-iiU- 
tiim of thi- jHitirnt nml rlic ilonor. (Ki^. lUI.) Tlic in- 
tnoliR'tion of (l)f iitiili-iiln of (Jtc tmll) into tlit- vr'in of ttiv 

Intiitii i* fdn-tttl t>v lUr niM>ra|or hIouU' i>om|)n>n>iiit; tW 
Milli H'itli one liurH], w liilr- lir' k4i-|M i)ii- tnlx' ntHtl mi IIh' 
mmIp of till' ilonor witli (Ik- liii|fiT unit lltninli of llic >>lli<-r 
luinil. Itv rfliixiti^ tlii' iintieiin* on t^tr^ IiiIn' on tin- douorV 

It 



182 



HIHOR SUROKBY. 



kkI(! (if llic tmlli aiid WiKitiiji tl <tn the iMiticlitV Ki<lf, IiIikkI 
will fliiw from itn- iloimr's v<-in into lix- hiilli its il ulnwly 
<'X|iaiKls, and uIk-u lillitl tlii> nowiuiinicalinii with tilt* 
|)ulii>iil's<in'ulali<*ii is tipiiD niatlo, mid tlH'n)iiiii|iiilntion ■» 
n-jM>at(Hl until nsiiftii'ii'iit •giiniililv ot'liliHHt ha-* Uin iiilni- 
diii-wl lis iudittitttt liy tli«i'i>ii<liti<>tt <>f tlif iwliriilV |iiiIn-. 
Tlie iiiiaiitily "f MihhI "r -jiiiw dilution iiiir""liii-iil mil 
lie ralfdlauil l)y iiunuilH'riiiu that iit i-«fJi (-rii|ilyiii]t "f 
the bulb two drai'hni.- <>(' fliii<l an- intnulti'-i/il iiilu iho cir- 
iiilaliiiii. When a mtHii-ioiii iinantity liais U-eti iiilriKliiit^l 
the (miiiliv are n-movwi and lli«- wmuul" are dr>t*t«il tut 
(inlinarv veiK^H-tinii ni winds. 



ftidinxt lyan^fvaion oj Jttood. 

Indinti iniiiNfiu'iiin nf IttiHMl !i^ lui^nnpti^ittl liy uit)i- 
dniwiii^r fn«n u vein of llic ilimur liy vcmwi'itiiiii uUmt li'ii 
tHUHiitiof I>Iihm), wiiif'ti u riHT'ivwl in itoUvin rIiim* tir|»iitrp- 



riAiu. 




Anw»n» far Uh IndlncllnuuAMMi U Wgpil. 



Un viwH'l, wliit'li in [iliuttl in wnlcr nl ii lrn)|M'mlnn- tif 
110°. Ttu- bliMol ilitit> l«')il unnti v iii'3(l di'KbriiiHtt'd by 
vrlii|i|iiii^ il wilbibniiilli.-iirbnHi(n HtniHHorn win-linmli, 
mid ul^'T U'tii)! lildnil (liimi^li ii tim- linvti flnili nr wirv 
firuitirr, il i" inji-i-li^l by nutiiift of an itnliiniry i>yriti)ii- 



TRAKSrOBIOK OP BbOOU. 



188 



»U4ii'lvi| III !k iitiiiilii wliioli liiu> jin-vtuiKtly Ih-cii iiiM-rUtI 
iiilii a vrin »(' l)i<' |iuli<'iil ; <■»»■ t'lifuil'l l>i- tiikcii tlint no 
sir i* iiitrixliirMl wiUi Uh- IiIihhI. \\'\wh u niiHtm-iil 
i[iuiiility III' I)1iiihI liitn hmn iiilnHlnu^l, tlic ivniilii is rv- 
tiiiivii) mut tli4- wiiiiikI in iln-^xTDol ill llu- iifiijil mnntuY, 
Tin- MMiTii- iif tiw oiH-nttion liirp'Iy iIi^-ikIk it|ii>ii tlw 
rxjHilttioii wild wliicfi it in inrrnniKil ; (•> |>n'Vi'iii llu- 

nat:"'i>l' ' ''■*' I'l'x"! no! nion- timn (wn niiniiltft bitouli) 

ite iilKmt-«t t(> iiiU-n'i-i)c ln-lHtx-ii iIh- ntrgitiou nC (Ik- UKtuil 
in tlu- ayrinKi* niul its iiKnHliictioii into tin* |«ltMit*5 
VI' ill, 

N'mioiiH fi^rtiM of iipiioraliw liiivi' Imi-ii 4l«r%'iMC(I for tlie 
<i|H-nitiiiii <if tiwl!ni-i (miwriii'idii nt'hliMMl.iuii) nl' tlx-*^' iiiw 
<trilH> IntA i" tliul (li'viMi) l>v Dr. ^.(i. Alli'ii him) luiiililii'tl 
liv llif InU- Dr.t'.T. Hihiut. (Fiji. 114.) 

ArlerifU JVaiM/'unoM. 

Ttito iinHttltirf, H'hiHi mjiimLiIh iii iiiJ4<<-liii|; ilctilirin^iUtl 
vi-ii'itin IiIimm) into nil uncrv, 'm iftiu^uumWv ]inii-li>Mil. An 
iiHi-rv, iiHiiiilly till' nuliiil iil tin- wrUt or llii' [Nwtt*riiir 
libuil U-liiiid iIh* iiiiirr riiiilliiiliiH, !.■< c>x|MKti<tl ami i»-(-iifi-<) 
tiy a iiKiitiiri-: it Is tltm <>|M'IK'<I mi i)m' dinliil KJtli- ul' lli4> 
li)[alun'nn<i tin- jKiint itriii-.)milii<>r titr iioiulciiraHvrtua- 
in iiiirmliniil, iltn'<-(''<] (iitvaitl ilii< ilUtiil I'xtniiiily nl' iIk- 
liiiilr, un<l liliB'l, wliii'li liEin )m-<'Ii {invii'iinlv <li riliriiiiitiil, 
in nliml} injivhit. Wlirii a ^iittii-ictil i|imiiliiy Iim^ Ihvii 
inlriNliK-iti ttii- (iiiiiilii is n-iiiiiv<it, uihI the ili\ i.ii<(ii ul' tliv 
nrtiTV in iiiitiplfliil ami iti cxtn-inilii-H im' wi-iinil liy li|^- 
tun-4, nixl till- wuiiml in iluMtl nmt dn-Mi'd, 

A Hto-lrattJ^urion. 

Tlii" pri-filiin' in rti-ritiiti)<'ii<)iil in <^im* nl' ("Xccwhivo 
iH-niiirrliit^- tn Mi|>|i»ri a iiKinliiintl [nlit'iit iinlil iillit-r 
mmtiH of n->'U'«'t 111 tint) itiii In- lulujiltil. It iiinnb'tH in tltc 
nn)tl!iiilliiii of niliU-r Uiii'lTijrfn »t *>( iniiHlin Immliitr'*' >•• 
tfif •■xtn'tiii(i>- for llu- [tiir|i'i»i* nf lim-iiiif llu- IiIi-mI lnunrtl 
ilir vufM^ilar Alul nitvtriiH «viilrm. 



IS4 



MINOR SUBOKRY. 



iKTRA-VKNOt'li lxJ»3(Ttl>X Of SaMNK H«ll.|tTl<»N. 

It hns Ikvii iinivitl liv <'X|MTin)rnlH nml l>_v ctinimi 
(■x|HTi<'ii<f llitit tiDiiuiii IiIo<kI \* tiol iiiiin- rlViiwioiiK ill 
Hi|i|>lyiti^ viiltinii' to »iu\ »-Hri>riii^ n ni)ii>l1y liiilin^ i-irx-ii- 
liitiiin lliiiii iinnnii) ;vill viltiMon, nixl a* llic talli-r itiii In- 
iilitaiiKtl witli iiiiK-li niun-f^iM-tlian MimhI, iiHiiM- )iii* liir^rrly 
8iijN-iv>'<l<«l iIk- I»lt4-r. Till' siiliiic siilution wliit-li \x IihiihI 
niiwl Mitinructoni' to c-inplny Tnr liun piirpntw t» known tw 
norniiil Miliitc witiition (M.7 (kt tiiil,). 

rill. lu. 




PiuHii aM lilt- 



llipfllnll. 



TW MiliilifMt ><h<Milil he" i»n']«inil willi wiiiiT wlitHt Itoii 
Imi-ii iHiilol to xtrriliw it. M)(l ••liDiilil )•!• of n tcin|H'niItirr 

oflllHIIll |1MI° H'lx'll IMll. 

A Vfin »r llii' (Mliviit, u( the rllxiw, hIuhiKI lie rX{MHw«) 
Hiiil >Ji»4i|il liavi' |>Iiuiil iiiiili-r it, h1k)Ii| oiii'-hair imli ii|Kin, 
twiKiitpil li)^itin>f>i the (liNlal li^ilim- in then tii'd iiud 
an oiirtiiiiK i- miuli- into ilif vriii Im-Iwi^-ii i)h* Utoiliinw ; a 
nimilii i" m-XI iiiMTtKl IiKx tln'oiHiiin^ into tlit- vein, iitwl 
i' M'l-dnil in [Nnition liy lyiiif; tin- proKimnl lijfiitnn-. Tlic 



AHTirtCIAI. RKSriRATION. 



166 



I 



mxilln i- fifHt lillitl n'ilh I)h' »nliti<- i^iliitioii, mill in tl)i>li 
(iitutit-iiil Hitli II rtiiiiii'l liy iiiiiiifi of M nililH-r IiiIm- (Fi^. 
Il'i), wliioli !■ lilhfl wilt) niiliiio •«)liili<iii t>> dUplmr tlit> 
.tir, nnd ii|kiii mixitiK tlic riiniti'l iitxivc llii> [Nirl tin- !«»lii- 
Iwrn niUT- tin- Vein ; nirc hImhiUI In- rakcii to !«■«■ that (]»C 
fijtuK'l ix k''{>l will -oiiiiiliitl uilli ^iiliiiiixi until n Hiinicinii 
■ fiiiiiitilv liiui Ih-cii iiitrfxlitiiil. Ttit' i]iiiinlity ininMliio-i] 
i» n-<;iiluliil liv tlt<' iimititioii of tlii- |>iitii<iit% |itilM\ 

Stilim' M>lii(ii)ii iniiv iiImi Im.- intriHliiiitl l>v hkvuii* *<{' h 
»ynn^ wlioii Uit' itpimmliM chwritMtl rnnimt Im> obtniiinl. 

l.vrHA-VENors Isjfx-rins of Mii.k. 

Tilt' iDtni-V4>niHiA injwtiou uf tow's or p«it*8 milk luw 
hI^> lte<-ii 4-ni|ilov«l Hr A tiiilHlittite for (rnn»'fiii^ion iiri)l<HH| 
ill iiutirutn wlio liavp Kulfcntl from i-.Mi*siv(' IiFmorrliii^L- 
or from diseaws ythivh grailly (Idprionilo (h« qiuility of 
till' IiIihmI, )1|ii-I) it.4 |M-niti-i<>tiH niiii-niia, Lv{>lioi(] (ever, aiid 
in mrlHilir lu-iil iKii^oniit);. 1 n iiinkin^ on<- of llit-iu- iiiji'<>- 
tioiiK ill'- milk 4ii>iil<l ■<•• frr-^h iiml .iIioiiM in- \v)trini<H awl 
•rmim^l ihroii^ii ii fine wire or liix'ii !<tmitK-r, iiiu) it aIioiiIiI 
Ih' iiitnxUKtil liv itKiiiH of u luimin inAi-rin) iiilit u vein 
ami Hinirtt) in ixnilioii \ty ii lignum'; (o llii^ luiiiila 'ii* 
■tltu'licl |Im< hiIiIht liiliiii); uml runiicl, xiic-li nn ix i-mplovtil 
in tlu' iitlni-vcnoiiH iiiJ<<Hion of siilioi- Holtition. The 
fiiiint'l nitil IiiIm< itn- ni-xt IiIIhI witli milk |in']iiin-(t itn 
nlioVi- tliwrilHil. iuk] !| i> ninili* to <-nliT (In- vi-iii of tl)o 
|i»li<-iil liy luniiii^ till- Ktn|i-<i(<-k iiikI r:ii.-<iii^ tin- fnniii'l 
titnvr tin- imlii-nrx Ib-Iv. Tliit* iiijciion hiu» l»wn rtii- 
]itov<ii in til'- rliiiw of cil-'o mciitimuil alK>vt' witli njiinir- 
intlv In'nofioiiil P'-nll". 



ARTlflt-IAI. K^MI'lltATIoN. 

ThU )in>mliiri' is nixirlnl u> tit nu<f> of tlin-a|i'i)ii| 
iltiilli fniin a|iiiii'it i^iiihi|iii-ii| u|>i>n drouiiiiiK, iirofoniKl 
iitW'itJii-limiioii or tli>' iiiliuliillon of irrfH)>inililc |piKn, i»r 
nnr muw whiHi i-lMitkit ur iiit4Tf(-n.-r< uitli tJttr fiim<tioii iif 
ttmitliiit);. itcforp rrar>rtin|^ to iirtiliriiil mipirotion mm 



180 



HiNOB SOBOKKY. 



mioiiM In- liikfii to w<- that Dnthiiij; ih )»n«cnt In tht- irioutli 
or iiir-jJOK-jiipw whidi »i!l nl)«tnMl llic i-iiiranof- iif utr iiitu 
tlic Itinpi. 'UK'ti ttH mitctLs fiin^i^n ImiliuH or li<|iii(l>4, wiJ 
uImi ihiit nil ti^lil flotliiiiji, intiTffrinjc witli tin- fnv i>x- 
]uineioD ul' tJic chmt v,ti\U t^ioiild \k n>nu>v«l I'mtu thu 
rlufl. 

Wlici) :irtiti<-i:i1 ni<]>iRiii(in i^ n-Mirlr<t to iIh' <>|H-ml<>r 
)-Ii<iiil<l jicrvcvcn; wjlli it I'nr mihh' lime, a-viii witcn im 
)i(t|Mn-nt !i|HiiilaiHoiiiB rt«|tinitiirv- Di(>vciiit'iite> tin- t'Xi-it<-d; 
lor pcMiirtcitatifHi has lufii ant>m])ti8hHl in «aH-niiii)tty 
iiojM-K^A wist* by puticiit i«ei>*vtmiM.i' with Ilio niiuii|>u- 
Intloiis. 

Wlini dip Hn't nuliinil n-finnilory movefli4-iit ih di-t^-HMl 
tUv <i|wnil<>r h)iiiIiIi1 not ixraM> Diukiii); artilicinl rt-i^inrulioii, 
bill hIiouKI contiuiK- Ibtm- movcnH-nU in iiii(-)i u \^nv iu^ U< 
(itim-Hlt- w-iili ih« Mkontutiratis ins|>init<in- iukI i^x[Hntron' 
iin>vctD«ntH until tdo breathing biu aaHuniitl ii« nt;iilar 
i-hara>-riT. 

'I'h<- ti'miwrnliin- oCthi- ImmIv tilioiiM iilfi U- n-sion-il by 
rrii-rioiiH III ihi* .■Hiirfiwi' ol' tb<- IhhIv by llic luind!* or by 
roiijfb loui-U iiik) hol-wjitcr lioitltw, iiiul vnirm i^ntTinpt 
iJiLKilil 1m- ]i|ip]i4^l for tlt(* Milium objm't. 

,H'iuth-io-Jfo*tth IttfiiiHoH, 

Thix iiii'iItiMl of nrtifii'ml r(v|)initioii hiin lin-ti n-NirIm 
to ill ivww o|' fTfi\i i-iwriri-iii'V, I'Miai-inllv in vi-rv vomi;; 
rhiblri'ii. Tbi- njH-nitor ilniu^ ibi- loiiinii- f'onvitnl, <-Iom« 
till' iitnlriU, Kiiil ii|ii)lit-« bin iiioiilh ilinvllv to (he tiiouth 
of tin- i>Hli<iit, iiiu) liy II ibi'it fx |)init4>ry rfrort iiiibwim 
111 liim' tiir inro lUi- rbi^l ; wbi-ii thin in iw^iiiii|tliitlii<il thr 
nir i-nii Im' cxihIUiI f'l-om ilu' Iiitifm by iin-wnn- ii[Hiti tin* 
W'IiIIh oT till- r)i(->l, uiiil tb<' iinxiiliin- ^lionb) U- n'|HtiInl 
kImiiH xixiccit liiiiiit in ii tiiintitf. Tto' Niim- obj<i-l luiiy lie 
nti-oiiilili-biil bv iiiLviri;; ii llcxibb' iiitli<-li-r into tb<- 1rw']ii« 
thiiriiKii ibi- tnoiiih, or by jmiwin^ tin ii)liilnilion>lnbf, to 
till* ii|i|HT |inrl iif whii-b II mbtit-r liiU- Is ntlni-b*^. iitlii 
the Inrynx : tbix niti U' |inr«wi) with the fln^r* M-illi<>iil 
ilifliriilty, nnil tin- liiu|(w nui ihi-ii Ik- iutbilMl by ihi- vyt' 



ARTiriClAI. RRSI'IRATIUN. 



187 



■U»r Mowiii)! iitio thf <ntlH-1cr or ttilx.', (ir hv uttiu'liing to 
it M (Stir <tf ln-llowM. 

Iiillalioii xf llii-limio' tlir'>iit;1i tlii- mictrilif liti>' lio'ii t'ln- 
|iti)y<i) liy l>r. Iii<'li:ii>l>i<ii. of l^milon, wlio liii» iU'vImiI n 
|Mii'kpI-lK'lli>wii t'lir thill iil>i(i-t. TIk' iiiijitinitu" (iiti-jisu nf 
lvr<i i:liL>li<- )>iilli«(, t() wliK-)i two nihliL-r IiiIh-:^ :irv iilliii-lii-<l, 
whir-l) (i-niiinak- in a Kiii};l(.- Utiw. In iiHin^ l)ii» In'IUiwh 
Ihi' tcnitiiuil tiiU- i.<i iiitnitlii'ttl into imv mv^lril, lli<- oIImt 
IDnMril uml tnoiitli iH'iii-; i-IoKtl ; iiir ik foni'tt intn tlit- 
1iin:»- l>y Miiripriwiti); xiw linllt, iiiitt willKlniwn by iKHil- 
[•n-s^iti); lli<- otlK-r luilb. (Kig. IIU.) 



rut-iM. 





TliiH lirllt>w'>> iiuiv iibm Itc iittiwltiil to n inllicItT or in- 
cut nl inn •litU' lubx^fl iiilii t)M> luryti3(, vrhit'li wihiM |in-\'4>nl 
till' (MW'iitiilily III' iiir i'Mii|)iti|; into llic <nMi|>)kii)ni», ii (iini- 
|ilii-nli<>n nhii-it Lo liiililf l>i <>ciiir in nioiilli-ti>'iiiiintl) \nl\a- 
tion rtr infliition Uiron^ii (lie mn^'. 

Dirtvi Mrllxoit oj Artifiriiil Itrtftindi-m {lf'iv<iinrK), 

Tlii" niofliiHl i>f'nr(it)''iiil n-»|iiniliiin wat ilic iin«4«'iil (jmc 
iitiiMili-nil tin- nrnol itHinii-iiitin, iiik) is tlie ihk' :Kl<>))ltiI liy 
tin- I'ltiml Slnli-s Liti-rMvtii^ S-rviiv, iui<) altlioii);!) tin- 
mini ifivi-n nn- I'lir IIh- riHiiM'italiiin of »l'«c« uf a|i|iiin-tit 
ilrMWiiinfc. lilt- pMnc itniiiliirvH inny Im- aitoptiil in caws of 
n|Hiim iirisinc fmin itUn-r (inisH^ 

Tlic rulit* liii'l iliiun by J)r, llrtvtiinl iin> an follntni : 

ffw/c /,— "Til cvihO Hiilcr rniiii lli«' Htjinuu-li nml Iniipi, 
rtrip till' inilii'nl to ihf wiiiit, nud if tin- jiiw.-* nrf rlii)rh«l 



188 



tllNOR SUKOKRY. 



M-)iainitr ilu-ni und kn'i> thocu niMrt l>v |tliu-iii^ )ici\i't<iti lli«- 
tivtli a if>rk >>r a wiuilf ph-o- of wimkI. I'liw)- iIh' |iiiiiiiit 
Ikn- dowiiwanl, tin- ]iil ol' Hu* nlmnci'-li ln-iiii; mix-') aLivr 
tlif Icvul of till- inontli liv it litrp- mil tif <-l<>rl)iii); nlimtl 
iK-tMiklli it. (Fijf. 117.) Throw your wvit^lit fnn'ilih- mni 
fir thnv Itiiu-e ii[toti tlti' iNttirnt'H ImwIc ovit iIm' mil uT 
Hoiliiii); HO ■« to pivMi ilII niiid^ in titr I'lotiiiM'li out of tlif 
iwiiiUt." 

na. iir 




nM HMrtpolWIon In Uovuil'i nMktd. 

Tli«- liivl nil<< n|>|»li<')> only (o i-aww nl' tIniWDinf;, uitil ■» 
iMH]i Ilonnnl'" iih'iIknI m ii]ituiii (Wmii ittlivr miMv ic i*- 
to Ih' I'Uiiltiii. 

HhU It. — "To |HTt'iriu iirtifimt n-HpinitHtii, onicklv 
turn tti<' [Mti<iil iiiMHi liin Imm-I>, jiIih-iii^ iliv ntll ori-liiiliin)[ 
In-tMiitl) il »•> nis lo iiuikf the lirvw^-lMHii- (Itr Iii|Hii«t (xiint 
iif tlif InhIv. KtiM-l IxfiiU' or a#4rttli- iil' lli<- iMitit-nt'i* hi|w. 
( intiiji lilt' Ih'til jmrl of tin- rhi-Ht on i-itln-r •ixlc of the pit 
III' lli4' •■iiiiiiEirii, r»tiii^ till' tiii;;i-r^ ulon^ lli<- nixtiirw iH-twi'tii 
Itii' short riliM. Bri'V yoiir <'IIhiwk apiitii't y»iir *'n\>-*, iiitd 
Nltwlily i:ni»[>iiit: mnl iinrntiK CorHanl iititl iiuunni thn>w 
y«iur wli»l4' wcii;hl ii]><iii llii> oli«w(, k"x1i<'>IIv iitrreiuiiii|t 
ihi' jmiwmn- whili- yon (vmiil one — /wvi — Ihirf. 'Hii'ii 
Pii()il<-iily let K<> "itli 1 '■»ol \t*vh >i tilth pjiriii^ yuii lnuck 



AHTiriUIAL KKHI'IKATIUN. 



lfl» 



h) yitiir HnU prmtinn. (Pift- 1 1^-) ti'-Ht eivr-t ii|miii yroir 
kmiT< wbilii viMi nmiit o»if — (*«> .■ tlicii luakf \tn:<-<un' 
apiiii n» iH-forc, n>|M<tilin^ lln- I'litin- niotiiiii.-> jil tiivt nlMHit 
rimr iir liw tiling :> ininiiic, gnidiuill) im-nnniiiL: to nlMHit 
trii or iivt-lvi' titiKw. I'si' llii- ?aiiif r^v"'-'"'?' "^ "i l>I"wiiiK 
In-Dowp uu<1 an Mi-ii ill ilif niimral brfiitliUi^ whicJi voii iin- 
iiuitatin)^. If nnnllifr jien^iii ifi |ir(«iiiit 1«t liiin with (HK< 



m.iu. 




ntiMt HMkod of uUIU^ti nqtnuliiii. 



Imiiii), Ity nii-uiL<i u(» <)ry ]iin« of litHii, lii»l<] (Ik- li|i nl' lln* 
fiiiitliK- out xf uiif <finH-r of till' tuoiilh, imd witli llx- otln-r 
IuiikI i;nii-|i Uilli urinU: ami phi Uicui to thf ^niuiKl iiIhivi' 
thi- |NitHiilV Ihiu3." 

Till' iiii-tliiol riitiy Ih- I'liiiiloyifl iti msiN ■■(' siill-liinh, or 
in voiiiip i-liililn-n, tin- ii|HTnt<ir liolilin^ llif flKWt of tJii* 
ftiilil iu hi.'< l<*n Iiuik] uikI (sini|im«>in(; it witli lltr rif^lit 
linii<l. 

Sifhfttffr'ii MHh'ulof Ariijiria/ ItaijiiralioK. 

Ill (■iii|iltivtii|[ this iihhIkh) of iirlitii'iiil n«|>imlioii tlii' 
|iBli<iil fdiotilil Im- iilii'i-'l oil Ilif Imi'k ii|H<n si ftrni fint ^iir- 
ttut' ; II I'liFJiioii of I'tiilltiii;; i>^ pliutil niiiirr llif -ilioiiMi-rs, 
iinil till- Ii'ihI kI)i»iiI'I !■■ dhi^jKil low*i-r tlinii tlii: UhIv liy 
Ulliii^; llu' eurfuiir ou wliic-li lii? U liiiil. Tlii' luoiilli Ix-iitfE: 

U- 



190 



HINOR SL'ROKBY. 
Km. lit. 




l4l*HUl^lMUMl-IU*|riMI)lM. (Bmukm.) 



m. noL 




■rlv«M'*««lM4-»t|4mUMi. (Muaca.) 



A8TIPI0IAL RKSl>IKATll>N. 



11)1 



rlfuntl »f titimiti i>r f<>i-«-i);ri KiiliHtaiuvs, ttit- liir)|£tii' h 
(Imurii liirviTird and st-nirtxl to ihv ihiii liy » |iif<i' nl' tii[H' 
till) nr»iiiicl it ant) llic lower Jaw, or may U' ]iullt<il out of 
tli<- UKHitli and Ill-Id bran m^^istaiil. Tlico|H-raliir, stiitul- 
tiic at llic jtaltfUt'-i Itiflii, Kr:i«|w iltf iiniut at tlio i'Uhiwh 
nn<i ittrrii^ tli«>ni tiM oiiltvani and llii'ii n|>vianl until llii> 
liai»U an- l>n>ii||ftit loj^-lher alxivu the lii-ad; tlx-v .xIkhiIiI 
Im- ki-|it in ttn!< iMtsitiiin for two .^coonds, allcr wliich tniir 
tiii-t' arv linHif^lil »>lofvly tot-k to th^ t<ii\m of the thorax 
Kixi pni^-Mtl i^rninM it lor 1w<t seconds, TIipsp niovnimiils 
an- n-jMtitiil lil1<->-ii lini4« in a niinuli- ntilil tW tuvatltinf: i* 
n^onil, or Htitil it is t<vulent that tht-raso is a lto|M>l<«tri ouv. 

}fartihnU HnWa Rmrly Mrihod «/" Artip.'.in{ Rnpiralion. 

Tn tht!' nK-tlio(| tlio montli »ilv>iil>l first W- tW-itl rnim 
niili'Us or fnn>i;^i iNMlies, and the |iaticnt is tnnttil iiiMin 
(lis fiKv with one urii^t under his fort-hmd, and a roll of 
rlolltin^ ix jiliuxtl ItoiM^alh his i-tM?s1. Hv ttiniintc lh<- IkhIv 
lirisklv oil tlu- side and a little Ix-voud, and lln-n on IIh! 
fwv, itltiTiiJiti'lv, h-sjiiratiim is imitated. As the ImmIv is 
lirou^ht ill the onme |H»sition, (iini])n>fliou is to Im' iitiMie 
u|iirii till' iH>^ii-rior ns|i"-t ot" the ehest, Tliese m:tnii>iila- 
lions should )u' uiudi- tiHcin tinins in a minute. 

In wUifi iinv oC these ntrthnds of artificial rii^oiralion 
the oiM-nilnr shoiiM jierscvere vrith them for an iiour at 
lenst [tetorf alMndtinin^ the e»6v as a ho|icto6» one. 

In niso where the :i|>n'(4i is dne to the jiKWrnw of a 
f'.n'tini (""Iv ill llif larvnx or tnu-hm, it is evident that 
no rlIori-> iil ri'stiinitioii can Ih' siiii^rssfid until the air- 
j>a;*«i|Ci'!' are fniil fmiii tlif '"''liidini; IwmIv, ami in siirli 
rmw tmi-hi'oloiny should lie {M'rri>nne<l tiefore iirliGeia) 
n^iumtion is attiinpttxl ; tlu' trai-heal wound slioiild Iw 
held oti.-n h_v n-tnu'tors, which iu a «ise of emerjp'nev mn 
1k' miule from In-nl hairpins, or by a tracbeotoDiy-tiihc if 
oiM' !■' at hiind. 

Fortfd HfUjiirafimi. 

Tliir" i" dial nielh-Hl of :irlili<-iiil n-^iiiniiion i>\ whteli 
air Ik fuh-ibly (msm-iI iiilo Ihe lungs. 'I'liin jiroi^ilun- U 



192 



HlNOit SUROKRV. 



Rtrtingly tulvoHttwl Uy Di*. (>tt»r||;i> K. Foil, who luw ili^ 
vinixl iiti ungxinitiiH by nliich it miiy Ik- f^liidnctifrily »-- 
nini[)lii-lii<<l. Cruf. H. C W>H>d liii>^ iilwi iiinilo ii><> of 
fitniil rii^pimtiiiit in (Ik- n-siiM-iinttnii \>f aitiiitiilp> wtlli ml 
a]i|Hii-ntiu NXiifxvhat »iiiitliir t>i thiit (1<-vl<«-<1 bv Dr. Kfll 
willi pmmI rraiill)^ hill Ii9f iicviT ii]iiili<-<l il (iriu'ti'iillv iti tli«- 
ca«c ul' thv litiiimii Miilijwt. WuiNr« ii|i|mnilus <iiii.<iHU> nf 
a (Niir of W'lluWM, 11 fen' fvH of riililwr Uibiiiic iini) n fiw<>- 
nuuk of niblxT, niiil <>ii«> or two iitliiluitioii-tnlKTi ; tlif 
iniwk or inlii)uili<>i)-tiilK- in nttRrlxxl to imc i-inl of tlii' nili- 
Iht IiiIn' uihI Oil.- Im-II»>vi> to ttit' iithcr i-iid of tin- tiilx-. 
Tlic iiiwik iH iiiiplktl ov<T (Ik- iiiuitlti, ur it' lliU in mil iiMtl 
the iiiliilK)liuri-UiW i" JiilnMliKtil iiidi l)i<' liiri'Ux, »ii<) nir 
is tiinitl iiitu tlic liiiip' bv uorkiii); tlit- Ik-IIhws. Mi- iilno 
lulviiHw tlisl ill tile tiil)iii); ii iloiiblc tiivul lull* tie iiiini- 
ilii<'i-«l, wiUi llico|Hniiii]j:>< Ml jiliuiil lliDt llii-ir fi»- i-iiii In- ni 
f\-Kiiliit<-<) \>y tiirniiif: (In- oiitt'r IiiIh-, (liiit llii- o|K'niliir niii 
nliow wiv cxiH-tw of nir lliniwii liy tli<' lulliiw?' Ui i-*ii|«'. 

TliL- iimiiirutiifi of Kfll, w)iii-li Ik- liiif^ iis<-<l !n » iiiinilM-r 
of iiiMM wiiti ^oimI n<HiiliD, consifltK of ii lru<-(tii»1otiiv-iiilM% 
■ mU' ti>i)m'<-ti'<) willi tlw iiii--4»ntni| vnlw, witivh I" 
nttiK-hitl to iiii iiir-unniiinK ti|)|iiinilnK, wliii-Ji in iitni in 
i-oiiiui-li.ll uirti :i U-llowf liy Hiiodirr mlM-. Ity tni-iiii.-4 of 
tlii- u[>[iun)tiii> itir u fiin-til into tbi- Uingf iiikI ultoHitl tn 
Ocn|K' wIh-ti llic luitfiH Imvu Ixtii cxiMiKlttl bv tlif <'U»> 
lii.-itv of till- liiii^ tinniic iilid tin- vlii^t uhIIit. 

liomol n?|iirntiiiii will |ir<>vv of vnliiK in »tntt of 
mill' iHiiMinin^ oitil otlit-r lui'idi'iil^ !it wliioli ibiilli i* irriH- 
tliuvif by [«tmlyni>> of rlu- ri>|iinilory initn-*. Dr. r'cll 
liii* nioirl'tl n iiiihiIht of uiwih of iitir"oi!(- |>oim>iiin): in 
wliicli lie 



riwtiliN. 



biio iimil lii.-< ii|ijKtratil« witli tlit- iimxt Mitihljicti^rj- 
ASJ'lHA'nON. 



ThiB |tnM<iitiin' i» nitoplol Iti n-iiiiivc Hiiid from n rLii^iI 
(vvitv M'itboiil tin- iwlniiN'ioii of nir, iiiid (In- iiHtnimi-iil 
w'liii-li i> i-miiloyiil III niiiitn|ili.Hli iliiti oliju-i in kiioivi) its 
ait U)<]>intlor. Tbi- two loriiin of iibiiimlor iinwt )j:t'iH-niJly 
fpiploytnl aiv iIhmc oI' l)i(-iilafor mul I'oluiii, (h ip. I^l!) 



ASI-IRATION. 



198 



l\itiuirn tu<|tiratiir mitNiKtM of ii t;liiNt UkUlr, into tlir 
Ht»|t|irr of wbicli io iiiliiHliHi'tl II nu'tflllii- tiilw, wliiHi in 
miimvtcti witli Iwii riil'Wr IniM'", nrti' of wliiHi m it)!!- 
m-rtol w'illi nit cxliiiiiolint; iHitii|i, ami tlu- hiIkt witli n 
•li-lti-Bii- ■■niiiilii mmiui; ii tiiR- tixMiir ; rln- iiji|uinitii» m 

iimvithtl witl) >'t(>i>-4iK:kM li> iin-v4-iit tho ailiiii^oiiiii nf iiir. 
ti unina Utiti iw|iinit<ir rlu- IkiuU' w rxhrnuU^l of iiir liv 
uwifi Uir iiir-|»im]) ; tli*- (iiiiiilii rn<-t(M>iii)i; Uh' Inxitr t» 



ria.m. 




AtOttH 



lH>x( [MhilKil tlirDii^li ttn- llsMti-6 into tin- (wvily ii>ii|«iiiinK 
llir Hull) In Im- ri'iuoviil : l)ii' triM^ir ia wxl ri'iDoviil, nitd 
ii|ii>u <i|B<iiuit; lln- Hiiijt-tiwk llii- tin!*! ic fonnil out ..I" (lie 
luvilv liv iiiiiiim|)li<-ri(' iin^iMirc :inil imvmt^ itilo iW Liltlr 
<ir mviviT. It'lhi- (lui'l iimiNiiip- iiiHhH-snl' lyiii)>li nr i"lot« 
wliidi tilmrk lliii (iiiiiila, inlprruptiit); ilii< Dow of Hiiid, a 
MyM til (wwnl thrnu^li i)h> ■'atiiilii ro fnv it of tin- oIh 
•tnii'lioi). 

Til •liiiiiniHii till' luiiii |>r>«liii-iil in iiiti-iKliii'ili); itic triNiir 
mill iiiiiiiln, tilt' nkiii til llir |iiiiiil Io In- |>iitiiliiri-'l iiiiiv )■■■ 
n.iiiU-n'<l U-^H H'liHlivi- by lioliliii}; in ii>itlni-t willi ii lor ii 
fvw luiiiiili-H II {liuL* of iix' wniiifHil in n towul, iir ii luwvl 



1B4 



HINOB SUKOKRY. 



i»iil»iiiiiit; liruk'-ii iiv iiiid Mill, i'nrv sliotild n\mi Im' tnktii 
to wi- tliiil tlic triHiir Hixl omnia »rv iHTfiitly rlivit ; tii 
mtimiiiltoh lliiH U mIioiiUI Im- uiri'riilly wilsIuxI iiikI |>laix'4l in 
tntilrii); miiUt or a u |M.-r ivtit. mrlxilit' f«>liiti<Hi iHriitn- U-inu 

UM'll. 

Ill iiitrodiM-iii); lliv Irucnr iiinl iniiiilu tliv ii)it.-mtiir ahotilil 
Iw «iiT'fiil t<> iivuiti iiijiiriii)^ any iinjMirtuiil vciiH, artiTim, 
or iHTvt*. 

.\f\vr niiioviii); itu- miiiiln tltc «n)all jitiiictim- slxxild 
)h- (Iri'^w^'il with II (-<iii)|in->« <it' untiM-)>t4r or tiNlofurRt gaiiM' 
liclcl ill [ilniv by .-i Iniitdiip.- or iidlx-^ivc pilnt)iK. 

Tliv iii^iintt'ir in rrvtiiiciilly t-iiipluyol in tiiM« of Imlnt- 
lliomx, i'liijiyfiiiit iiuil iiK'il(«, to wxvimlv I|m> 4iiiitvii(« 
of roM nliwtnww in <)m-jim^¥ of iIk- Lip iind is|iiiti-, iiikI to 
rrnioviT iIk- (vnlmlM ■>)' ii <lihl<-mk-)l I>IiiiI<)<t until ii n»>n' 
miliiiil o)ii^T»ti<>n i-itn U- iMrfuniK'*!. Ii lo hImi h v.ilnitlili- 
inHiriiiiH'iil lor (li»|;nin>ti<' |inr)MMt>, tK-in|; iWvinciilly (If<iI 
to iiwvrliitn itii- i-linm(-(<^'r of thu n>nli.-nl8 of ()w|i-Miitr(l 
tiiiiion uiiituinin); fluid. 



TlIK ST(IMA('II-TI^BK. 

Tliii* oiiiniAtrt iif n iuIm- iiIhioi tucniv-i-i^lii in<-lui> m 
li'ii^tli iind ihnrH-i^lirli!) of nn iiwt) in iliiUncU-r, wliirli in 
intn>dnii«l while the )iiiti<-iit is in tin- Mttitiir jNwtnrf, tlie 
htwl lM-tii|[ thrown Iwrlovarr) m> mr* (o Itrinjc ilx- inonth ni»l 

K 1)1)4 iL> iimrly iLt |Hi!*4il)h- in llic mtiir liiif. Th<- UtiMt 
>itiK nNniii'il and oilt'^l, the Hnrifon nlnndinir in fnini of 
till' [vilii'uL [lOSM-s it ilini-lly lici<'k to ihi- (iliiiryny. iit the 
i«iiM- linn- inlnNlncinc lln- indi-.v thii^-rof ihr tell IhuhI Io 
ICniih' ith iKiint ovi-r the f)ii^l(>ttiri; il iri iJxn |>uwwhI p-nlly 
<1uwnwani into tix- »i|i>nuit-)i. If nny olinlriK-lioii is mrl 
witii in ilM luuMip' il F<li<iiild Ih- withdrawn n lilili- wiiv nitd 
I Uun piiidu-tl nvntly downwunl ; nil niHni)iuliiit'>it.>t fllionld 
lie Mi;idi' vrilliniit ninrli fimt* Hi |m-viml |HT(untliiMi of llie 
wall 'ifiht- ■i-»ijiliii)'iiK 

'Dh' iiilriHliu'tiiin nl' lh<- hlnninch-liilH' iiiny Im> rMitiinil 
fur tli«- i-VHciinlioii (if |H>i)iouii fnim llio slunuu-h, or lo vninh 
out tbv mvity of iIiih vikiim, mid It niny ulw> lie iiai.'*] to 



THie BTUMAVIt-f UHt' 



195 



tnlrMliMi- |i<|iiii| iiinirinliiiH'iil inlu tlici«l<iriiiic-li>^or|Kiti4'nlK 
wImi iin' iiiiiilili- nr iiiiuilliii^ (o huiiIIow f<H^l. Ill tlii' 
n^ftillv intnHliiiiil iix'iIumI of rn-nliiit; ili«<)nl(-r» <if iIil- 
Titiitiuu-h mill iiitt'.itiiK-.-* i>y wiinliiii^ llit-ni ititt, limtff^, IIh- 
iiiiriHlm-liiiii 4if n M<>iniu-)i-t<ilH> in n-iiiiirt-tl ; lliv (iiIh- lit-n.- 
fiu{ilc>yn) L* i'niiii tHvnly-limr tn tlurlv incl»w in Im^tli 
(Fi|r. 12*2), aiiil tlicfltiiit i* intriHliuvcl liy iiHiiti^ofHriiiiiR-I 
nltaiiihtxl to iirt frtt' i'\l remit v, nr it may l>r eiIIucIki) to a 
tttonwrh-|itiiii[>. In iiilriKlwiiiK lii|iiiil noiirUlmu'iit n 
!<yriiip* or runrirl in lilliil to lite i-ii^jMntl ciut i>r lli<- titlw 
whii-li lin.-* \nva iki^miI iitto iIh- MomuK'Ii ; the »yrii)t^- or 
riiiiiirl liiiviiif: Uvii tilliil with milk or IxTf-lini nr bmtlt, 
till' cDiiu-nlfi an- iiijix-dil p-nlly nr iill»w-f(I t" rm» iiiUi ih« 
rttunui-h. 







I 



In ntMv of nniwiiiiiin, wlii'n.> it iti tli-slmhlc to witli<lniw 
|Im> aiilllrnio nf llii- srnliuu-ll iltitl to Wtii^li ii(|l |Ik> niy»n, II 
#tiiiniti-li-liitii- mill fiyriii)^- imir U- i-mitlnyHl ; M-vt-ml 
cyrititicriiln iif M.inn untor iirc lir^t l)in>wii into Uti* 
•tnnuu'li mxl tlii-ii witlnlrnuii liy Mniinn, txit in niicli 
tVM'* the ti.-H.- iif iIh- ftoiuiw-h-tiumii will U- fimn«l inon; 
MliKGwtory. 

Thk SiiniAcii-r-i'Mi*. 

TliiB ninHift" nf II linDfc syrinp.-. titc iuiznh of wliirli in 
mniHHiifl wirli two tnlM-s nii*' iir tlic viu\, tin- •xlur at iIh- 
tii4li>. Till- {Kiiwitri- lliniii^li ilif tffzU' if nt;iilnl4il liy t 
\aWr (oiiilnilKil liy » U-vit. TIk- no^ixli- nl' ihc |iiim|) m 
altai'Iml t'>llM--lniii)u-li-liilif,ni)il tlH-viuloriliflata'nil UiIk' 
!!• iilni^tl in n \uu of nitnii wnti-r. Ry niHinif tlu- iiiHiitii 
aiiit n|K'nin): l)M-.viilvr, wntiT rmi^ Lilniun t'niiu (In- kir^in, 
unil liy rlinini; tlu- vtitvi- iiikI <l<')>iYT<"iiiK itn- ]>i>l><n il in 
IimmhI iliniOKl) lh<- Khimni'li-tnlx' into llic sl»imu-h ; wlnii 
H nnincHiil i|iiiiittily lin>' liifli injtH'ttni in ihiu ituunKT, liy 
ntvi-min^ tin- iwlioii u\' itn- valve iIm- Hiiid U dniun <Mit nf 



196 HINOB SUROKRY. 

tlit> iftniuaHi Mill tliM-liarn^Hl ihniii^h llif liitt-ml IiiIh* inlti 
!i liuoin. Tlii)i tnaui|>iilnii<>ii is iiiiiiiiiiMil iirilil iIm- «nli-r 
nitiiniH rimraiiil llic hIiiiiuicIi Int.-* Inh'ii iiitujilcli'lv nnaliiil 
«iiil. A \vsa v^iiijilimttil instnirm-iit will itftcii tvrw km 
well HA thnt JiiM tiem-rilHtl (I'ig. I2:i), 

no. m. 




fBmjihftgfnt B'mgie.—'V\i\.» inslnitiic-til— >ivl)i<-li nuy lii> 
]iii>«M,il llinnii'li tlu> (nHi>|iliii^ue in(» tlic BtoiiitH-h fitr (liv 
jiiiriH*4fh of diucDiMi', iir fur the |iiir]i<i«c <if ililitriii); ulrii*- 
liin>i <■!' llti' a-M'iihii};)!'' — U (Ki-UMil in t-xiu'dv the rmnw 
iitiiiiiu'r 11^ till- ■^iMinai'li-tiilH-, :iii<l, iiK iii tlic tiw- of the 
laltvr ii)!itniiiu-iit,il slioiild U'liitrolnoil uitlioiii iIk- hhc of 
iiiiiHi ti>rii>, iw |H'rtMmlii>riHiif' tlic>i-Mi|)liflt;iiii luivi- fiiliitKitl 
till- ftiniMf iiilnMliK-lioii uf Hiicti iMiiiffiiu 

VaOCI NATION. 

Tht-1 i« II ininiT -iiirirKiiI [trix^tliin' wlnrli i-vitv phm 

Hhii JM tiilK'tl iijmii ■•> iH'rlorti). Tin- wirtJMi' iilMv Im' |»ri^ , 

|i»n'>l r»r iIk' ni^-iiliiiii ul' ilir Iv'tiijili ttv iilimdiiii; \\w ^H 

nnriji<r (tfihmkin ui nru- or im<i u»\mh w\x\\ h dull Inncvt, ^| 

nr l>v mnkinic w>vi-ni] Hii|i«-rtlctiil inni^hiiiN mUIi h Idiifn, in- ^| 

liv pTrnlt'diiiv thi' ftirlncp ol' tlir- fkin witli lite iv<>rv-|Miinl ^^ 
cnnrpil wiili hiii|ili, in lim-s with <'ruwiii|; Ihh-h, <Tmi»> 





VACCINATION. 



1»" 



'^vrmr/rA, iiiilil n liittc H'riirii cxikKw. It i-* not ikIvimiMo Io 

ilniw MimnI, wlii<-li wimIk-h itMuv iIk- lyni|iti, iiikI lor tWii 
Lr>tuuiit 1 pn-lVr tliv alirwl'tl MirTiuf nttitU' by llie dull knife 

iir tilt' ivury-iwHiiI. 

Tliv lytnpli iiHti tiiuy Ik- tln' /iumif>iK'^l nr lin' hoi-ine. 
^TIk.' ttWKiitiirt/ lipttyh iiiiiv Id' tile vin'hI tliiii) liik<-ti tiiiiit 

the \'aiviiK* V4wii-lt' on liii- arifflilti or iiiiitli diiy, or tlic ilritO 
Mvli whirli M'|utnitw wlict) llii- woiniil m tilHinl liviiKil ; if 

the Ullt-r w mt>cl, ii siniill |Nirtiiin of it if niKlK-d ii|i with 
rnliT niitil it roriiis ii iiiixtiin- of i-nmmy itnini«twKX' ; \X\k 
}\f- riiMNtI into lite ;ilir»>U-<l viirfnix- or tht' piiminn-x. In 

iihiiif; liiiriiin)i)!i^t lyrii)i)> iTin- tlioiild (m- tukrn to Mf tluit 
Jt >N |>n>tiintl fi-oni ii lu-jiltliy Hiiijirt. 

Bonne lynjA or nrtin, wliicli ix now niiH't g^-txTnlly vm- 

(ilovtf], in tnki-ii fr>nn tin- viuviiic vi^it-It* itfion tin- mlilfrw 

and iTOtc oClicifi-r"; ivyry-|»>i»(i' or titiillw an- (li|i]Hil into 

tliiH lytii|ili jHid uD'iwii] to drk', iiikI in n»in^ llinii lln-y 

nrt' diiiiKtl ill wutcr for a nionii-iil, to iiioi<iti-n llic lynipti, 
L'fim- lifint; uplitied to iIip nlirailttt ('iirfiKr. Tin- ivorj"- 
^|Ktinl \» oiif of iW moKt (iinvcnii-nt mi-anii of viuviniitin);, 

Aft thv MirlWr tiiay Itc iiimidctl witli il iK'fon- ttic lyni|ili \a 

a|i|>li(«). 

It luifi n'^vnlly Ixn-n inlvijXHl thnt nnttM-ptii'' prvctintionA 

lie i-\<-n-!^'<l ill iwTforntiii); vmi-iniilioii, luid Hltlioii|;)i nil 

uf tlw- 'li-tdiU (tiiiliol Ik- 4':irn<<il out, I lmv<- loinHJ llml tlii? 
^xt'tvifw- of mn- ii» t\^ir<l»> Htiinlinnw of iIh- siirGut* tiiw 

lirni followttl l)y miu-)i fcMvr inllunnniitory iiim|>li<'»tion]>! 

In viuviiiiilion wimtuli*. In iin in^ililnlton in whi<-h 1 
rilWH-innlr vt-iirly a Iar):i' nnmltrr of rrtw-*.. Hrni- I Kavi- 
')u1o|ii(il ilif luM'iwint; ])n-(^intione I iiuvi- liiul fi-Wfr Uul 

nrmo. 

Tlic Mirfiicc Ik Ih- iit>nul(<d, OKunliy ttn- left nrni Ix-low llw 

di'lUiiil, isfir«t unslHtl tvitli a«i|i mid wiitvr, niid llicn with 
in 1 : 'JOIK) liii'l)l<tridr >ti>1iitioii. Two iHiinlit of ■hi?' isnrliui', 
Inn ifM^i n|iiir1, iin' tln-ii iilmuJcd liy ii«inf; n knifr' whit-li lia» 
[Invn wiL'^lxil or dinixil in Uiilinc wulcr, or l>y iiHiii^ llir 
rlvory-|H>iiit t^ lii<-li lnw Ihi-ii digiiHi) in wiita-r wliicit li.i)' Ix'iii 

InkIiiI iiml MHiIiol liowii. Wlicn tlic luirfnii- Iiiim U-on |>n*- 
ijMrrd ill tin- iiMiniirr ttrwriU-d, tlic int-intrnf-d viriw b 



198 



HINOR HUKtiBltr. 



Il 



itlilMtl iiiHHi it iiikI hHowmI to dr>'. Vno'timtJiiii U|w<n 






III 



ic li')>, wliirli iH )ira<-(iM^I l>v some pliVMciiinii lo {tn-vc 
Ihc siiir fnmi aliowiii);, I think i^ not t4i U- miMuiiimdt-il, 
nnil [ iH'ViT priU'li.-^ it in tliir) i^iliiiition, an it in iwin-ttifli- 
I'lill to keep tiiif iiurt al n-nt, iiwl I (iiivo s*i-n mniir vrry 
ai'Visrc nas(» nf c«llu)itiH uihI |>hli-bilii) fnllow liy xtu^Mtui- 
tion. 

lIvi-«ll»KKMt(* iNJn-TltlMt. 

Tilt- xrriii^- iiwil Ir> inaki- hy|MKKtniii4' inj<i-liiiiiK ih |»ro- 
vid4<d with u p(-Ht>rnln) nt-vdU', wliii-li w |in!«^l iiiio th*- 
ivlliilar lifwiic. (Fij;. 121.) f^n' r<h»iil<) Iw tjikrn In tw 
lliiil llic itwlninu-iil nml iHN-dlr ittt- |»Tfw"tlj' rltiiti iH-rfin- 

riii.m. 




o^ 



llrisilsllllli- •)'tlDi;>: hikI nculka. 

l)i*inK iiMiI : if :i iiii'liiltiv M rinni- is iinidiijol it hIm>ii1<I 
Ih' n'litlvn-tl »Mi'|)ti>- l>v •■■nkin^ il (iir n W-vi ininnttii in 
UiiliiiK wi»l«T "ir in a fivf |ht it-nt, inrlxilii- Mtlutinn. 
IlviHitiiTniif iiijci-lionx »rv p-iimilly inmli- into (wrto id 
wltiHi tlif in-lliiliir tiwiu- in hIkiwImii, iiml fjvut 4-nfv tJimiM 
Iw i)lHM'rv(v) to iiVM*) iiitHMlwiiit; the mtillv iiiKi u tur|it' 
Vi'iii t>r arl<-rv, iii> liy mvl<-<'t ••( lli>" )>n-imili<>n M-riotm 
Hym|>t(ini* tuivo n'-iilti-'j. I'mni tJii- ilni|£ In-inj^ tJirown 
rajiiillv into iIh- i-initliiti<>n in»liiiil >>f iH-in^ lilimlv nlf- 
wiHnil fnini itii' ■iilHtitnniitii)- ivllnliir LiiMii' ; llir injury itf 
Ml|M-ril('tnl ncrviv ilioukl iiIfhi In- nvoldi*). Ciin' flHuihl 
olwi In' Inki'ti til aif lliul tlii' ■■•InliiiiiM rmjilimil an* 



ItrroUHRMlQ INJKCTIUN8. 



1B0 



frilintl if iHKwililr, iitu) fii-NliIy nmAv wtliilions idinuld 

Iin-\'-rrvt\. 
I) iinrli-iiii HvHiit^- or II Miliiltiiii wlircli litin not Uvn 
H'rilixi-^l riinv pvc H.m- Id ii triitiUU'Miiiif iiIimit.'' iit llic ^Ui- 
T till- iii})<(-tt<)n. 
Tit Avoid iL-<itif: rtolittioiin liir liy|MKli>rnii<- iim- wliicii itii- 
rfK*! rlmii^' rroii) lH-iti]f kv[A, it will In- (ikiikI iiitnv<-iiicii< 
ti-c till- iiniiitn-w*!!! jK'lIi'ls wliirli iin- ]irt'|ianil iiy llii- 
_ tiiiiltu'turii)^ rlii'iiiinrn, llic nlktiliiiiU lii'itij; iiciiii|)n'>vuil 
nitli » lirilr Hiil|ilmti' of siHliiiiii, wliicli iii<T>'(iM» llii-ir 
4>ltil>ilily, tli<- wiliiiiiiti Mn^ |>Tr>]Hin\) uilh liijilitl tvnicr 
jiini iM-fon' tH-ii)tc iisttl. 

Till- |MtrtionH III' tlif IkkIv itsimlly tM-lK-tnl (iir )iy|MNl<TiHir- 
pjn'tioti an- llii< oiitiT Htirihii* of llti- tl)i^ti.-> oi- unii" iumI 
V nhr>'niir niirfsKi- iil' (Ik- ron-sirri). lit ucikii)}; ii lty|M>- 
k'nuu- iitjiH'ti'iii llio .syriDp- Ls cliar^il niitl Uii' IkthJIc u 



rw, i» 




-.i ■ ii)rpatttMlcUi|(cttoi>> 



1i-ii(><l U) llic noxzli* of till' ityritijp': the r<kin U nvxt 

biiH-hi-'l ii|) mill iIh' miiMi' ii^ >|iiickly tlinut Uiniiipli tliix 

ilo till- irlliilnr ti^rii-; tin' Hvnri):!' in llini i-iiii>tiii) liy 

pTvimiuii iloni) till- |iir'toti, iiikI uIk-ii tliv i-yliriili-r to <>tiii>ty 

ill*- iiti'(ll(> if vriiliilntw-ti ; tin- ftiiiill |MnK-tim- in tlu- nKtti 

Hiiltiitit Ntlilntn lilti^ln ami iiKiially ImiiU wittiiiiil dilti- 

iltT* (File. I^''>') l» iH-ruoiis wlio luivt- KnfTcnil fntm 

oiiiHi- iit-iiiorrliiiifi'. wliirt' tniii>>fiiMoii of liloutl i» liol 

im^iilt-ni) jiiIvIkiIiIi-, liiryi- iiiii->'ttoii« of iinnniil •flit miIii- 

iiii limy Ih- i III null It til iitio tht' i-clliiliir lii^ix- l>y iui\iiif> 

^r liyiHNltTinii' iiiji-clioDH, or IIh- imiiIIc iiiiiy In- iiitiiHlwTi) 

i(i) till' (vlliilnr tirvut' iiikI tiHUMi-l'tl liy n )>ii<fx- of iiiIiImt 

Maf with nil irriKal'T coiltainihg iinrniiil Milt iiwllltinn 



300 



UIS'OR SURaKRT. 



hvitX alxiv*- tlu' inrt, and tlic NttiitiMti ^Tniliially llmlM itA 
wiiy into till' KiilHii|ntiiT>ii)> ci-Miilnr tiwiH'. A Inrj^ ()liiui- 
(itv of tliii<l mav U- iiilnxliititl iii lliU wnv. 

Rxi'umiNd Nkkih.k, 

TliiAvonflkabiut'ii fiuv-tcnKivitl iHttltt- Itticd inio x tmiMlIf 
(Fig. I^ti), whiHi ifi inln>diici<d iiili) tiiiiHir» or nvrcltiugft 

Fu. rai 



0= 



Ite[ilni1nf MxNa- 

l4i Moerlnin lti« naliin- of ihfir tinitciits, mid Us im- m often 
»f eervift- for ))iiriHH4«iil'(liii);u«^ih<. TIk' i-x{tlnrin|; ircMxr 
(Fig 127) is empluvul fur Ilic Mttuc {itirjxisLv ur tht: tuxdle 

mm. 



Rxflonna inHar. 

•if llif liv)iiMliTnii<- Nvriiip- or n fiii<- ixt'illi' a(ln«-li<tl to nn 
nf>|>ir»lor mnv Ih' tMnl for ti like |iiir|M>M'. Wlii-n ciltiiT 
tlir I'Sjiltiriti^ iHiilli- or InHiir in ciniilovitl i-iin- filtniiM U' 
laltfri U< Ml- tliM it irt n-iKlcnxl (ktIW-iIv aM-jtlic U'tim 
liriti>; iiMil ; olIirrvrM- itt^ rrii|i1i>ytnc»t IB tutt WltlMiut 
diiittrcr, Tor I iiiivc M-<it tlic inir<«l(>iiioii or lui cxitloriiiit 
iifiillr tiilo nil I'fl'ut'ioii ill II ioiiii Tor diniJiKv-lii- iniriHtMit 
lollonMl \<y -ii|i))iinilioii nnd <)i-rni<iioii ofUti- joiul, wliidi 
MiliHijiii'iiily iiiivwilHlol i{n I'xcihioii. 

HlCIK-<HtAmS(J, 

TiiU Ih n miiior Mi?);iiiil imH-itliin- wliioli nuiy U' t-m- 
|iti><i-<<d |o liiu'ti'ii i-i<wiri /III loll ulit't>' UiV' tfniiuiliuiiiir 
MirTnii'" nr>' t-%|HiM'd, him'Ii hm n^iilt I'roni rxt^tiMvi' iijx-ni- 
lloiiN nitd rrttiii liiinH. 




BKt»-<lKArTIH(t. 



SOI 



Till' i»|N-niltiin ntiktbitH in Anplyinir shaving nl' tho 0|>i- 
tlfnitU onil' till- <-]>iil«'niitH iiiid rutir^ ti^t-tli<T, In ttif j^itii- 
Ijilin^ Mirliut- Miiil liiil'lin^ tlii-ni in o>iita>'l witti il forii 
Ciw lUvn ; lilt- ^nilV- oftia mviii to (liKiiijHitr, IhiI nl llti- 
'■twl oru ti'M' (tftVh, ir ilie |»irt U <-I<iM-ly i[i.-<)Mi-<tHl, IiIiiihIi- 
M'liitr |>r>inb« will lie tut-ti to ikx'ii|>_v iIh' jionilmiiM at wliicli 
iIh- uniDii wen- »])[ili(>(t, wliieli lx<r<iiti<> miivcrtnl intii Uo- 
latttl i-i«iirirt* rrt.m wliifh the hralinjc (mHf** ni{ii<lly 
fxti-mlii. To Juivc n sim-cwbIii! ix-nult liilloM in|f tin- iw of 
nkid-jrrart.-* clir MiH'mv of tin- liIixt Hhoiild U- lioililiy, ami 
\u< .-iiirliiii- nitti lilt? ftirToumliii^ sktii ^lioiitil U- n-ixUnHl 
iitM-[i4M', nii'l Uii' itraftn should Iw applk^ at a iiiiiiilier of 

{HXIIIti. 

Till- Hiirikiv fnkiii whicli the Knil\H an? (n lie lakfii sht>uM 
nlao Ik' ivtHlfn'tl n.-41'jrt if, ant) tlit> skin ic rtiin>vi'tl Iiy *ds- 
■iifn nuulr li>r lliLi |iiir)MiM- (Vi^. 1-H|, ur liy rabiiii^ tiif 

rM.UK 




Mads be tHiVRMBlB*. 

^iflrnni" with ii infillc >>r uiili loni-iH nml ■■iiliiii^ <ml n 
niiinll jNinion of ii njlfi ;i mIuii-)) vii]|H'I. TIic gnitl i» 
iH<xt n))|>liHl to the (rniiiiiliitiii): inrlix^- wiili ii)> mw Mtr- 
fiiu' iu ii)ii»u-t uiili till- ):raiiiilniioii.'<; uf\i-r u fiiHlfioHt 
immlN'r of jpmfU Imvi- Ixi-n iiii|ili(«l, ii ywv of Kit-rilin-il 
)in>lii-tivi' iH liiiil over itinii iiml i- ItrM in [Ami- liy niiwiif 
Iff n fin* Mtrijic* of iNiii)r|iL« {ilib<ti-r. An onlinarv uniiM-iK 
llr or Htt'tili/jil t!tiii/<' ilnwiii^ ii> iit-xt iigiiiliiHl, iintt iht- 
tin'M^int: i" »■•! ill-iuHi'il for n wwk or it-n ilayi, M wliirli 
liiur, if III!' ifninn Imvi' tnkoii, Uolniitl c-iiutri(«'>i at Idr 
(loinM ivlii-rt- lite gmtti* w<>n- a|i|>lii'<l will Im> fiHitMl hi t^xinl. 



202 



MINOB StIKaKXV. 



ThifmcA'i Miihwi. — In Hkiiiii;mnii))f, mt'ortliitif to tlilf 
iiiclliiMt, ilic niirliici- 111' tli<- iitcvr U n-ii<li'n-<I a-^-itlii', niiil 
hII HnliM'|ilt<-H niv milhIiiiI iiuitv witli M>'ri)i»:i'<l silt miIii- 
tiiiii. TIk- ■■iirliw"'- "f llir ti!ifr in iii-\1 i-iinldil tn rt-iuiivf 
Mii\ ^niiiuliitioDK, ni)() it iHlhcn irrt^Htivliiiid iiivtivil wiiti 
l>niu-<'(iv<- lui*) II iiiiii|trcsK U uiiiilUfl tn <iititr»l nil liU<nlititf. 

>S)iiivin^(if nkiii un- ifn-ii r>'niiiv<il fmiii n iitirlitcc witifh 
tuix Imh'I) n-iiiU-ixf) ]LN>-|>ti<- liv nitiin!' Ill' :i raxnr or tuiiiitti 

knife. I'rfH'll fTnH .-liolllll Im- ah li>M)f :lllil )>|-<ill<l Iin |Mi«i- 

Me, hikI wIii'Ii lilt il should lie HiuUiil lh)iii lii<- ^^tiiiiii 
kiiifi- l>v II xttxiiiii •>!' Mill ^>ltiti<>ii nnd |tl»itl ii|M>n thr 
im'imn-i] HiiHhiv nf lln- iiIitt nml ^I'lilly prt^Mtl intn pliuv, 

An«T ti .iiilliciciit riiiinlKT of ffrallK tiave Im<<ii a)j|)IiMl, 
olriji" <if ]iti>ti'r'iivi' jiri- liiiil ovi-r thi- Biirfaw «!" llir )rPiift», 
iiixl '•\'<-r llicM- is |)liu<«^l 11 (i>ni|im«< nioi-Mi^nnl willi xnlt 
Miliition mill niwn-il liv jinitfilivc, hihI a fi-w Ihv^tm of 
Mli-rili/iil (iitiiiii nn- ii<-xl n|it>litt) nvi-r this, atid ilu- ilitw^ 
til)! ><■ li4'l<l ill |Hi!>iti<>ii liv a liandagf. 

i'lid <lnf>Hiut;*< iMi'ii iml U- wninvwl fiir ii ivwli ur «"n 
ilflvn, awl a MiH^iiiil (Irc-viiig .'■lioiiM lir iipjiliitl in t\if wnx' 
miuiiiiT until i)h' ;;mlV- li;ivi- Ixixmit* iliiiTMii)>ltlv viinliMil. 

Till' Hkiii (>r (111' Ih-IIv iir Utrk of Inieo, nr ttir liiiirlnw 
Mkiii ol'vi'iiit}; aiiitnnlH iiiny U- iixi'd in llii> plan* »riinmiin 
nkin. 

TliU |)ri>(T(litro w nwirtMl li> tu rcitliuv (N>rlifint) nf 
Ihiim- wliiflt liiivi- toi-ii H-iuinilcd, tn llll n)i tiiviti*"* 
in Nmc, nr In nvton- (Ik- miitinnity of iIm' hmj; iH'tii^ 
'Hii' Imiik- III U' intniiliioil ilmtilt) Ih- niKlcnil ilt<>niii|cli1y 
iiM'plic, nntl sliiMild In' |iluiTii in n Kti-rilixiil niIi MiUitimi 
at n lciu|H'nittin- nf l(M><'-]<M><' F. ; it inav lio iiiiwrKiJ in 
iiiK- |iii<ii' nr limkcti itil'i fVaKnirnln aiiu hid over tin* 
mirfniv. 

Win PI it I" il<--infl 111 nfti.n- tin- (imtiniiilv nf ntit' nf 
till' Intijc l-inii*. iiHiT till- unrfinnv nf itn- Imiii- liiivi' Ihvh 
ttxiMiMil mill n-ni)i'nil iM-jitif, a ImtH- in n-innvol lr>Hn N 
IVntlily killiil miiiiuil, \n n-ndrntl (M-piir, and i> lhli«l inlii 
iIk' pi|t nr IH -iiilil into ■tri|n ami |ei''k<'4l intn lltr mvity. 



KLKOTSOLYSIS. 



203 



B<iiH<-i;nininf; iruiv »Im> Ik- vcrv >iiitih<liu-(')rily ntxiuii- 
liltMliitl liv tiMiiiiK i>( Si-iiiiV iliifilrijuil Imnf f>talrn w chtm, 
wliii-li will Im- f<»in>l ifx-lnl in lilliiii; iiji iIm- mviliif n-fiilt- 
inir I'ri'tii till- ••|i<r.ili<>ii "I" m-|iliir)iri); "r (or i-xtiiisivc rc- 
iiitivnls III' Imiih' ii) lliv i>|K'ni(i(>iif lor m^-nifiK i>r <iiri<i^ 

III fiii-li i-HH'TS iilW Uii- i-itvity hiu^ Uvn ^1i-rilimil, it is 
(liiftnl with ioaliil'inii iiik) » llicii lUK-kcl with Immk' ('hip«; 
HNkil'oni) if rifxt ilii»liil dVit thviii iui<) it |>ifo> of |in>tr<>- 
livc if |ila(-«-<l ii|M>ii tli<-in iiik) h (■oiiiiin.^s'' nl' iodntiirni guiiu- 
nifl lii(')ili<r!itr iMttoi) IN next ii|i|ilir(l, iiiiil tlu- dn-miiif; in 
Ui*M ill |Mwi(l<>n liv II IhiikIii)^'. 

Wln-n Imiik- iilnlii" iin- wn|)Ioyi-«l thcv an- cut to lit iho 
ity, luii] |mivifiiiii itli<iiiUi Ih- iii:ii)c lor ilniiiui)^. 

tWparatutn of Dfctilcijini Rottf Chip* or I'taW*. — Tnko 
thi* diiiiiicK-t lifvtM- of (hi' IWfh (iliiii or li-mtir of aii ux, 
nfiiovf ihi' [HTiiHti-tiin iiikI t)ii-<li)lliiri' littntw, nivil fjUil in 
]iirfp» otK-hiilf nil ini'li tn wiillli. iiiii) jiIiut' ihi-iii in ii \Ti 
|H-r t-ciil, uuli-rv Miliilioii of hyilroi-litoi-ii- :i<-i<l, nllowiii); 
lliitii to mtuiin in ihjf for tJinv utt-kfi, i-liiiti^iini; llic 
aiiliilion iliiily. At the i-nd nf IIiik tiim- Uii-y should lip 
rrnt'iv^vl uikl Hifhii) eiikI cut in Ihin t^rijis or i)1iit(«, nml 
Hnithiil it) II WHik )M>liilii>nofi'»iiMtr|M>iu«h,iiii(ll)icii |ilitx-<l 
liir torly-t'i(;lir liitiiiy in ii I : K^MI lii<-liliinih- >i<>liitiun. 

AlV-r lliif ihi-y iiiiiy )n' ki-|>l in a Miliiiion <if ii<iI>>rorin in 
iIImt, or ill 1 : -XM) ^loltition of hichloriiii' in al<i>liol until 
fv>|nin-<l li>r UN-; tivlon' U'ln); iimiI tlH';v' IDf wuiknl in u 
1 tU*")!) liii'hliiritlc •Niluiion. 

Mtuvtf-fpi'j)int/ nwl nmf-ynijting iin* uIhi iHivHtniuilly 
nwirli'il !•• lit Kii]))tly iU'(iiii'iu-iif in ninm-hf or nfr\-c»'; 
hen- fnvJi niiiM-U- or ncrvi- f i»<ii<- in (■nij)liiy(tl to lill n|> tlii' 
irii]>. 

Kl,MT110I.VSIti. 

Klt-ctmlyHi!*. or tln' clw-ini*-:!! iIc«iini|Kiniiion ii»Hiirail I)V 
ilti'trtfity, i^ i'tii|iliiy(i) in Miriti-ry |o ik-xtrtiy nior)>i<) (inwl- 
iw-tc, tiiMi'ir", or a'Miiiiilion.x. For ihi- ]inniiliin' n icalvnnir 
itr ii>nliniioiiK-<-(irii-ni ImtltTy U n-<|itinil, Mhii-li i>> jinv 
vhIiiI uilii I'livtn-liM iiikI tKi^llc-^ of F^rilnlili- MhiijH-^, In 
ii|i|ilyiii|C t-li<i'th>lyi*ii« lit ii iiinior, for iuHliiDn-, thr ninillt' 



MINOR ai'RnERr. 



nMiwi-litl witli one >'f tin- [mU* of ihr liim«T* h> iiiwrlMl] 
iiilo iIm' tiitiicir iiwl tlif taUt-r r)H'<i|ili<in- i^ u|>i>li<tl t>i iIm' 
-»lriiu"«' cif till- \tKt\v, IT Iwti JliH- iHi'tiUf. mrvfiilly JiiMiliittil 
tHtirlr til ihrir I'Xln-iiiilifn, an- i«ihmi-lril wiili U>tli ikJi-* ^ 
111' till- luiiti-rv by <'()ii<tui-tiii^ (iinU ; iIicm- nn- iiitnaliiMi) | 
into till' luiitiir iinil II ui-iik i-nrri'iii in iiIIhwmI ii> |uif«t, unii 
itn p>tn-n^(ii t» irruilimlly in<-ri-nMil iw llii- i>|H-n>liiiii ml- 
\-an«iw ; Uic rtim-iit tM |nimh4-(I fi,T fillivii iir Iwcnty luiiiiiti**, I 
npil till- iinHT«ltin> i» rfiBiitnl at inu-rxiiU cil' wvcml lUl_Y^ 
iiiilil HKui- (lit-itW i-liMi))!*' <Hi'tiri> iti tlif liiniiir. 

KloinilvM- Imn Ihi-ii iiiiiilidl utti) niti^iMK ii) tilt' Invt- 
1111*1)1 urittit'iiriHiii iimni 'villi*' liiiilliiT iifH-ruiiw iiMii-iiliinH, 
in iii!ili)!iiiiiit |>niwtlin, ill iiii*vi, j^iiln-K, <*\>li', tiylntiili, nuiI 
iH lit till- |in?«-tit timi- llif tiunt Mitiiiliii-torv niciliial iif n-- 
luuviiif: •■ii|nTlliMnii> luiim fnm* tlmsi- (Hirtiitni^ of tlic Umly i 
ill wliiclt ilh-ir iinwciMv raitM-s illriligunwrtil. 



(i\I.VJlfM>-CAIlTK«V. 

riulviiiKi-<iiiitorv Intti-rifs an' tmii'triHittl Mith |il:iltMitr' 
Iai)5c siw, iilanil cKiwIy to^fctlii-r, wi lluit llti- iiilrriuil it- 
lUHtamv U niliicti) uwl a vurrciit l» i|iii(-kly •Jilaiiiiiil uliicit 
will,k<^')i a iiii-tallii'i-l^ttnidcot n Mliid* In-ul. Tin- mlvitii* 
time ill iIh' IIM' III' llilu fiinn iif miiliTV 'u^ thai liic t-ki'lniili' 




KlMtinilB ft* iiLiirkniMwicrr- 

cun lie iiilrmludi'tl into tlic vnrioii- niviliii> nf tlit- InnIv 
nliil'' cilil iiikI i|ii)('l<ly IiitiIiiI in itic •IcHim) tciiiiM-rnliin*. 
'Pill- I'lii'tnulti- an- nijiitf nt* vanoiio "ImiN-x nimI "iw», ai- 
(iinliii|£ III till' nlijiii lioin-*) ( Viii. I'ii*). (>ulv.tiiii-4iiiiiiTv 
U aiijiliiil fur till' Kiiiiii' iHiriMKH-Hiw iliv iiciiinl iTiiilfrv, Itit, 
aft |in'viMiHly KUllnl, ilM Iim' in twttv miivi'iiieiit lu Um.' 



1 




MASSAGE. 



205 



irioiiii («v!(ii-b tif till- IhmIv, ita m-tioii •uii Ix- iikhv cusity 
li>culi/iil, mill Ity it^ ilsa- lieiiiorrliajff U itviiiilt.il. It in fnv 
|iioiitlv t'i)i|il<>_v«-il til ili'utrov iiidi'ltiil tfitiM'tlie ii) iIh- iiiiniI 
iL)^«, ttic tliroiii. vii^iiui, <>r iiUtiih, nixl uIhi tiiiiy Im- 
fii|iloyu] ill iIr- tivutiiHiii or»uperliml t-xU'i-iml frrnwiliK; 
tn iisiii;; it tor tUv n-m<>v:)l nf j^nilis tnim tlic iiiu<i»ib 
iiti-Ril)miic iti* npplifiitioii iiiny lir rpii(lrn><l |inu-ti<iiily 
p»inln» l>y previously lh<>nitif>lily owninijtiiig ihv pans. 



I 



FAHAlJIZATKt.N. 



Tlif ii|i[ili<«ttfiii iif t'livtricily in tliiH fiirni U itlVti i<iii- 
Inyctl in liiiruii-Hl uirivtiimn ; in (mws of niLntinu; of lliv 
itiiim-Ir.- liilliiwint! frarliinv or finTiinH, in souk- lomi" ■■!' 
niHliatI, tinil in liiti-nil •-iirvnhin- nl' the Kpinc llii- jndi- 
Bi'Un iu<f ol' tlir liinulii- iiirn-iit will nfti-n Ih- liiiiitil M lie 
llowtil liy llti- nioMi MiiinfiK-iory nnitlm. Tin- iiim-nt i> 
i|il)ii) iti Mu-ii a tnuiiiHT iiH to liring iiUiut iimtnu-lion of 
It' anti-lttl or wiintnl niiM-lts, »n<l t)iiii« im|»r»vc iJtHr 
iiilritftiu. 

Mawaiik. 

MoMUt^ onn^ii^s in a x'ark'ty nl' nnn)i|>iilHti(>rvt, nncli ih 

pin>-liti)K n\i (lie inU^inK-nU sun) niii«-li-^, iuhI rolling llu-iii 

i-twiiti Uti* tlinnili Hiid tin^-nt, in Mmkin^ or riililiini; iJn- 

irtiuv villi iIh* jnilrn of tlic hnnil I'min tlu- |M-ri[i)u-ry 

>w»ltl the ivnlrt', to finjily tliv ili^U-nihtl vcitifi nml Ivrn- 

ilmlii«; niMiiii): iIh' xiann i-in-niarly with tlit* e.xtrcniiliif 

\( (lie fiii};iT!^ unil ifiiiml) ur tlio ]Hilni of tlic liitiiil. oi' 

bti-mliu): of llic iitirtn if anotlicr nK'lluHl of jiRtilLHiny 

iiiwuiri'. MuMHiip- iiniy iiLso lir ]inii-li<«-(l by tu[i|iing iln' 

iHiMi> i>r llif aHti'tctI |iiin witli inon- K?*< fonv witli tin* 

i«t of lilt' <in)fi'r>' liclil ill II row, or willi tlit- nlniir iHinlcr 

tl)i- liitnii or with the |iii)in of ih*- hiiiiil. Iti'liin- »|t|ily- 

tnjr ninp«iii.i' to tin alliitol luirt. il' tlit-n- Im' n Ix^ivy growth 

^f hnir, t1 •■lioiitil In' i-urcAilly •ihnvitl oil': otliiTuixc ihi- 

■lini|)nUtii>ti iniiy i;iv<- tli<- iNilimit |Hiin, iiiiil irrimiioii <if 

111- tmir fiillirh-H n-ntillinK in ul>M-i-M(n< will Im-u|>1 In iniiir. 

10 



HIKOR 80ROltRY. 

Tlio |iurl nhiiiilil fiLsii Ik' rtilrlMtl u\-w wiili olivi- oil, vtw— 
line, iir iiH'iia-ltiitU'l' Id-lun' jiiiil iliiriii); tlif iiiiiiii|inlnlii>iiN. 
M:i>i.ifl)^' tH tiUt'ii i-iu|il<>vit) iivitli iitlviiiilii^- ill iIk* In'iil- 
nicrii lit' uiiiiiiiiF> ami •itrain.-* in tli«r MiiBmitc und chnmic 
."tajp'rt, uinl it will Im- I<>uih1 nf fin-M tx-niiT in tin- Inirr 
ti-futiucnl of f'raotiirM involving the joints or tlwir vitiitit,v, 
in iVKainint; tin- ntittioii nl' lli<' (mrbt kh wfll as in iin|miv- 
inj; till- nntritiiiii of t\»- mnMlcN wliii-U tiiivc IxnunH- wibiU^l 
fnuii <tit>»w. 

Pahsivk MirnoK. 

Tliix niniii|>iilatiiifi oitL-itntK in altrmMlt'ly flrxinic unil 
<>xt<'iM]in}f or rotiitinfi; tlu' linili to tniitalc ttM> normal Joint 
iiii>vriitcnl. Tlti' utiitionn ■ihoiiM Ik- t-tn-fiilly )irii-I)niI. 
nnil ill iTWCi* i>(" ftyiturt- tlH\v sIhuiUI iml lie nmiiTtjiki-n 
iinlil ilicn' is <(iiiic Hrin union iit ilic H>al of fraciiirr, nr if 
fiir «nv r«i*>ii ]ui«.iv<- motion \.-< miMir ntn- of lirfun- llil^ 
tiino tlic fnijnni-nlt^ ^lioiiKl Ih- linnlr )4n|>j>ort(<il wtiilt- it i^ 
lM-in}:<-iii[>l<>\M. <hliiTlormHorniiiw»){ii-, stu'linHsinikiit): 
iind kiicEuliiiK, niflv lie enijilnml in ii>iijiin'-lioit willi )kv 
:<iv<- niolion in the trcitimmt ■>)' tlx- troiiliti-Himi- r<iil1iM-ti 
ofjnintn rc^nltiiiK from rnutiin-n, diHliHiiiiinin, luiil r<)tniint<; 
|Hif«ivc motion ]i|i|)li(il in ilii^ niiiiiiKT wilt 'lOrn n-.>ti<n' 
the tnnrtioti of a .utiH' joint nion- witintw-toriU- anil itilli 
in*t |Hiin to tlu- ]Kilii-nt tliiiii ill*' lon-il>l<' ntani)>iilaliiiiM of 
llip jnini wttii^i iiri' pnii-liNil nixli-r iin iinitvtiM'tnv 

TiiK CuNiCAi. TiitKMourrKit. 

For ctiniitil otiwrvutioiin two thcrmnmi-icr miiIo iin- in 
miH'ml itw. till' ('ciiiignulc itml Kiilin-nlii-it ; llic liilh-r U 
WW otw <i(inniiiiily iiiioloycil in Aini'riiv iiiw) |-ji)fliin4t. 
ThtM Hnli- linN II limilitl mn^-iilNiwnnd U'low tin- nomuil 
ImmUIv (i-nt|M'rEttnr<-, Hitidi in ttx{^ l-'iilircntH-il or M" 
CrnliKmtli'. 'riHTinonu-itT!! itn- now nuidr with u i-iin\fx 
Hnrttui-. hIiii'^i >«-rMi< lo nui^ftiifv titc <iiliiniii ol' in<-n-un', 
iinil tliii> cniililm till' oImmtvit willnint dilticnlty lo notw (hi) 
|NHiili<>n of iIm' intlfx. (Ki^. l.'Ul.) 

Tli«- li'iniHtnliiri-iirtlK-Uialy iiuiv U- Inkt-n Ml tin- Uionlli. 



THB SBCTAL TOBB. 



307 



■£ 



axillfl, vofcina, or rwtiini; tlip two formpr imcititiii^ are 
tlxicM- ftiiicnilly i-ni|il<*yiil. Wlit'ti lukcn in Uk- iixiltu i^ire 
sliiiiiltl lio •'Xi-i'<-iMi) t'l H.t' tliiil 1)11 1'lotliiii;; IK itil('r|Hip(-cl 
lif(n*(N-ii iIk> i-kiii iiDil iIh' iti-^triinifiil. um) u lu-ii llic ruoiitli 
UMvl fur tlHTiiionu-trif ubevn'mioDrt tlio ]uiticnl •'hoiiUI 
hv iiutriK-lcO to keep litH lipcj tightly rliiM^ iiixl ItnnttM' 
tlirou^h )ii)> noirc. The tliprniaiiipti'r sliitiiM U- kcjit in 
pliuic for fnHQ tlim* t<i f\\e minulc*. 




^S= 



ZL 



"tS 



M 



^^ allUail UwrnOBMUr 

^H Surface Ihennomeler* un- !^>iii<-liiut« UHitlovt'il, llic* in- 
^Hl«lniiiM>itli!> for tliir- |)iir[)i>t4' Inviiif; IhiUi^ i*ra di-ifviiil F-lmtio, 
^Bitr an- ilmuii »iil in Uiu liirni uf u H|tinil or mil. (Viit;. 
^Kl<11.) In ii^in^ tlii^ form <■(' tln-rnionifn-r t» tlctcrnilnc 



rw.m. 






^ 



euittO! Ittenc-.-icnUi 



Um' uniiiiiiil n( vnriatinn nf titp Hurrmx* (oinncnitiin-, tlii' 
(iiti)H-ratnn' of <x>rnx|HiiKliii)c (Kirlti ul' tin- ixHly on (lie 
o|i|H»itf nidr iind tltr gt'nvrjl t<'iii[K'nihin- of lliv IhmIv 
vlioulil In- taken M tli4- baniH' lime. 



ThK RwPAI. Tl'HK. 

TIh' iiitnMltictton of tlH' n<rtjit (iiIh- l> Ixvl tU'wimpliBlicH 

Iliy pliu-iiti; the imlii-nt ii|H>n h'u M\ side, iiiii) tlie niirpx>n 

•JmdiM inlniKH-e III- illl^l•^ tinjji-r ui'll ntlitl into the n'>-tnin 

ntu) ''uiiU- till' tnlH' ii|>>n lliiK ihrixi);'! ll>e nnii». ami l>y 

Ljn'oH^' prewnrc it in t:rti<lnu1lv |ui-u«ii uiln iIm- ni-tiini : if 

(a olridiin- e^iirfn in (lir ni-ttini vniliin nwli of ilie linpT, 

lli> Inner xli'MiliJ Im- nrvil in ffimle itie liitic tiinHi);(t iIh' 

*<i|H-niii)( in ttiiH ; if the ImIh' Imihiimi- t^injjlit in n imnnverai* 



K'S 



xiy'i-a. ?73«SKr. 



r-...! ■ 


i" *j^" 


'::':» "1,1 


it-.-!:'. 


, :: -;.- 


.*;,il ■ 


!•■ f:.: 


1-:- •■ 


: 11.— 


tI'.ii- 


-.-,■";;■ 


'1 ' • 


Uf :i 


-:.• ■'*'.. 


:':.^'. 




■ ■r':i.- 


^*~'( » 


ti;i- ;■ 


. ■!• J-; 


;.-i ■;: 


l«"il 

-!,-.^;! 


•fl. !l 


::; • 


-iniil- 


.■..-I I. 


!■ ::.; 


Hi.i.i- 


tii:iy 


■- :: 


|->i;rin_' iL- 


I:. ::.; 


:■:!■■. 


r.f *l\ 


:tTT:^ 



1;.- 



'■.'.: '■: rji.— i!:: x ^-r^'. T<iU' .til iii:iiii|iiih' 
L.ii'l- 1--:. :Vt>n.- ^ utK-ni-^. IIS Jt liu> 
::- L4U~sur -• "■ ^ 'i*:.- ■it ilanfTiT. (htIiiri- 
:::> . av":; :■ "■ »-•: ::- '.!-«■ in ^-iim- <aM'!'. 
: :7 " t: • -"-^^z: ':.'_:f. ii|>. iliv ojKTiUor 
■ :■:.■ ■*':.- : 7'-L-:i:i>i i-xiM-rifiiciil in 
'. jj.i -. ■ : a.-*~ ::,. nuiii[iii1atiiin-' 
•^7*:.'.' : .vi'. W\-;. :ii.- n^ial tiilx' i.- 
7"'. . • - ■:- - ■ ■ - Isn?- iiiiotinc, llu' 
.-.r •: *■: ■ i; - :' a -vriiip-, or bv 

:■ :. :*:_:.- .f:^ ; ■•: :■ ::.•. in\ lUil of tin- 
:,'.:,: : ■ : • : .-. : :.:;i;:i -yriiip-. tliii;' 
.! i : :^-- - : ::.- ::i!<-tiiif. 

- ;- " ■■'. >!::. ^--ni roiilt^ ill 

:■•■•'•.■ \'— ■ •'.■.:>. :iii'i in iiitn- 

.'.'.-: : • .- . U-- ■■!' iiiti^tiiKil 

:'.. ~ -.-- - ■. '(-inu-ii"ii n- 
-.--::. : ::■■■,. .. ■ ..\;iTi-'ii- it- iw 



i;> ::■ y. 



I ■ - : -■■ 



• : .. \ 



■-..■ ■ - -LiTi n:ll ;i» tlir 
■-..r. .- -;/.-. Tiirv 
:■■ -I'^^'i ill tIii- -ciiiif 
_■ :.i r.i..v • ti!(i!"ynl 
: ■ y -'\.--:\'] U- iw>l 
:;,■ «:i'.i ■■; ;l»- ri''- 

■-.:!>' ;;il !"'II:;ii- 

- : ,■ !;<'i '-r nil-U-"! 



..■ - ■■:' i!i> ■inliiian 

.■ '.I'li -4 j'iti;;' : till- 

1 .. ■ :■' iirnnlii.'i- ilii' 




ANASTHRTICS. 



2(W 



loxxlf of till* Hyriii;^- fp^tly and in tin- ri};lit ilirtTtinri, ax 
|MTf<<nilii>ii of ttu- jowrr |M>rti<>ii nl' tlic nTtiini litu tjikvii 
alnrt- rnini iIk- iiin.-l<-M>; mid t<>n-il>lo iiitriHliK-lioii tif l)iv 
|i>r,/li- 111' the i-iioiim-Nvrint^; tlir flimi vlioiild utriii U- iii- 
jivUil i^lowly, «« Uv Ml doing llii-w is Itrss irNislamv iiiid 

^J»'«>^ ti-iuii-iirv for til*- jNUiciit to [NIIK6 the fluid bclurv llic 

^Bif<irv<) <(iuintily lui» Ir-mi iiitixKliKwI. 

^B 'I1ic fncniii ni(i(4 <-<>iiim<>tily rmpluywl to t-m[»ty th«' Inmr 

^bowi-l i^ tilBik- l>y iidiUri); ii tiiMo'iKKintiil of nvwt oil :iii*) 
two IrwiKHifif'ulK oC fjiiritf' of tiiritcnliru- t4> one or IWo 
|>intH <<r w'linii M'liti-r in wliidi u little <'»sliK- snap hx)' iMt-ii 
tli«M>lviit : nunii wai<T :ind i^wccl oil arc aim fn-<|iicntly 
iiMvl for lliv >>iiiiiL- |iiiri>of«-. 

Gltfnrm Kwtna.—yhw cir Iwk t(^n)fjMKitiful» of glyct'riii 
iiyts-tiil into ihi- rcdtim. nr u nupfwinifaiy inwiv ul" (jly- 
ivriit, will ofU-ti W found lui i-ffioti-iit ■tiili«titiitc for thv 
lsT)C<>r ■■rMiiuitA of wal4-r. 



NttTiimoirs Knkmata. 

Whi-n it is fimnd iirciitHory tu inairl to fi-cdinn l)y iIm- 

ii-tiini, till- HiiliNtnitn'.* I'lniiloycil should In- injiHiitl iiilo 

H' m-ttiiii l>v iitiiiiiii itf a ftyT'mgt; iirtil <tin' "Iionld Ix' 

krn to Mf Itmt (he (jtiiiiility ii> t»(>t Cmi liiiVT'i iuh) llint it 

of niii-h n tinliin- )l« tH)t to ciiiim- itriy irriintioii of iIh* 

hof iJti* nvtiitii, or il will not (■■ ra-tiiini'd ; two onnctit 

in tin- <iiH- of tin adult ix p-nt'nilly n ^)i()i<-i<-itl (|iijniliiy in 

injiit HI OIK' tiini-. 

|V|i<oiii/j4l milk or Ui-f jniin-, or iln' yolk of iin f}!|< 
iHiiirii tip uitli milk, nrc «{\<-h r-iiniloyiil, hihI iiny ntiirri- 
lalin^ dnigs itiay Ih' ntixnl witli tlit- rnrtna iind ndminiii- 
tvi) at iJiK Miuf tiiiif. 



AaffiethetloB. 



^V The tiiil)*>liin(«'H w-|i!Hi iin-omploytnl at llii' |in-Ht-nl liim- 
to jiriKliiiv cillMT loctit or i^-iicml aii]i'?'lh<-r>iii nn- iir, ro- 
liiw, rUifpibiii-, iiliroiH oxiili>, diloriifonii, and rthvr. 



210 



MINOR aURGBRY, 



I>(KAL A.N.WTHBNIA. 

Void. 

Ij<M-,it iuiiL'stlK-siu may Ih- |tnK]iu-<-<l by th« applicatiiin of 
mill, citluT l»y it |Hf(r <if' ii-c <)r a mixturt' of ioe and rait 
licid in (iintiict with tlic |Mirt fur ono or two minntcs, iir 
hy (tinvtiii^ ii s|iniy nf rlii^iilciii' iijxii] the stirfaet- of tlie 
jMirt nlioKt' st'nsiliility is to \n: iilitniul<-<I. (Fig. 132.) 

¥v:, 1J2. 




i'lilnriilf of Kl/ii/l t> also u.-hI to ]>rrMlii<f' li«-il anipstlu'^'i.i, 
anil is ciinvciiii'nllv rnrnishi'<i in iflass tiiU-s, one cnil of 
wliii'li is ilniwn onl into a line )>oiiit ami licriiiotirally 
M'iilnl. Wlu'ii ii.sc<| till' mil of ilic tnU' is linikcn ntf iiiiil 
a lint' jt't of rlliyl is pnijifii'il n|i lliourtiiii-, tlu' wnnnt)i iif 
till' liaiii] lirin;: snllirii'nt to tcn-rc tlii' tliiid fnini tlic tnlx'. 

Tliis torn) of local iina'stlirsia x< rnailc iis<' of in minor 
-iiririral |irorcihiri>. >nc-li as :i-|iinitirm. llic o|K'iiiiip of iil>- 
wi->si's, anri tlir ifnioval of <n|HTti''ial tinnnrs. 



liiijihi /Irx/iirdtio'i. 

I!a|>ii|lv ii'jH'ai'tl ilci'[> ins|iinuii>iis kcjit up liir a li'w 
Miiniiii'S \\[]l |>riHliiii' iii-i'iisiliililv tn |>aiii, lail s(>nsilii]iiv 
to I'liMtai'i is Mot oliliti'i'al<i1. Tliis tiinii of aiia-stlx-sia 
tiiav If iiiaili' ii-i' of in --liirlit oju'iiilions. sin'li as ihi' o|H'ii- 
iiii; of ali-i'i-ssi'-. 



LuOAL AN«3TnKS[A. 



SI I 



Cbeaine. 

l>Mnl Miin'tlic-in iirocliini] hy the rtii|il(>viiH'nt of nil 
H)ii<iiii>>Miliiltiiiinrili<- l)y(lriH-liI(>niti'«r<iNiiiti<', ill "rn'titrth 
"iim •> Ui 12 inT will., it urtni ihimIo iiw iif in iniiior Mir- 
pinl |iriiti'dur<'!<, wIhti- liii' imimiis iiu>inlimite i^ tii Ih> 
|n'ntl<ii ii)Miii iir (rniu'tltH ri'iutiviil from it. Atuilfrt^m i.-< 
■nHliH'iil ))y hriL-liiiitr litr niirfiiii- nvcr writli tlic Huliitimi 
" (-iK-iiiiH', lie liv tt|)|ilvih(; n mnijin-w uf iiliM)rlH-nt ii>1t<>ii 
lUiratitl utlii lilt' Milnliiiii III (III- jKiri lor ii (■■« ii)iiiiit<-.'<; 

■niiitniK <iivitiK< iIk' liitli-r tiiotlnMl (irii|i|)lii-nliiiit will Ix- 

(iiiiiil niiMt i-ovriiii'iil. Ill lining a M)liitioii III' iiHniiH- til 

|irtK)ii<n- 111 I iit>t Ill-Milt in nix-raliim^ ii|>iiii (Ih' cvr ii 2 or -I ikt 

rtit. Toilitiiiiii i* <lm|t)Mti iiild llic eye, ntiil (In- ii]i|>li(i)liiiii 

r\'|H<Ht*-<] ntilil (Ih- :iu:il):i-!<tit 1^ ii>iii|>li-tr. 

In applying nHaiiu- U* (lie tin'llintu i ut 10 [ht ivik, 
liiliiliiin L* iiytvlwl intn the iintlim, iind ic sillowwl tr» n— 

lift for twii or tlirei' luiiiitlofl ; innrc ttuin niw or Iwn 

liii^ !<liiililil Dill lie iii}(><-(Hl at om- tiiiM^. 

Wlini it i» druirwl Ut jirtMluw liHnI miitstlu'fliii nf tltp 
(in t»r <l«-|wr liw^iit* tlio n)>|i)ii-:iii(Mi of ilip dilution of 
iKnint- 111 tl»f wnrfaoc is imi siiti^tiirtory, ami it slioiild iu 
nii-li tiiaiti l>e injtH'toil liviHMk'rmirallv into tlte tWjior 
BviTS of till- wki» find into llio itrllnlar (i!«iic of tlic parls 

Iw •>|MTnt<?>) uiMiii ; to avoid multiple piinctui* tin- ih'ciIIp 

tK)t ttiniiiliifly withdrawn from IIk* wound, but its di- 
ii-lion in I'lmnp^l iiml the wtliilion i^ thrown into dilR-niil 
piirfiiin.- of till- (i!v-tii'>. It if* wfll in riiliiatioiL- whi-rc it 
inn Ix- iiiiiini|)lislii'd, lo ml off tin- tiit-iilntion fmm ihv 
■ rt to lif oja'r.itdl ii|N)n l>y |il:u-!ii;; around it a nililK^r 
trap or tulic, wliii-li |>n-V4>nts ib* rapid alMor^ition into the 
rnrnti tilixol iiim-nt. It is wiOl not to injcxt tiion- than 
Mm- (tniin of tin- dnitf in tlii;; way, for fetal rrwilln ha\i' 
iilliiwiil thf iiijii'iioo of larp'r ipiniiti(ii<H ; tliitt ii* it«|N-- 
piwltv tin* <tw in oj-iii^ <"(x«iiu> in thv iinilira ami nx-ttiin. 
kiid in llii^M- Mtiialioiih ^nnt (Million Khotilil Ix- •'xcri-i.'xtl 
iu ill* titf, 

Sinn- iH-rxtnr^ alwi liavi' an iiliiwyncnisy for iix-aine, and 
iiildn'ti ni'iu Rton> 8iiFVv|i(il)li- to itx wiiKtitutiotuil vfT-cUt 




213 



MIKOR SUROERV. 



llimi nitiill'-. 1 Iiiivf' tt-n wvt'nil i-iuMf in diililri'ii in »vliifli 
luiirkiil HViuirioiiiM of tiH^iinc iHiiHUiiit); n-Hiilttil fn'm llii- 
ii]))>lim(i<>ii of >t 4 [K.T<wiit. n>liilin(i to die iidmiI iiiw<(>ii- 
iiii'iiiltninc. 

Ill niiiKir !'iir);itiil oiM'niltniiii, miu-Ii im niiiimtilintiaof tlw 
tinuiT, ■■iri'iiii)('!»i<m, i>|H-tiiiif; of hIwiivm-.'i, iin<t rt'tiiovnl of 
•■ii|ii'rtiviiil Million*, iijniiin-iiiiif-tliiwiM iiiiiv !«■ itiiiilovtil 
uiilt lulviiiiliiKf, t>iil itM iililily ii* iikihI iiiiirk<'<l in (•(■■ni- 
|i«tiiii ujiiin tltt' I'vi- iiik) thoM' ii|Mm tUv nuHiiiiM ni<-iiilimnM 
iil'lliv m**\ thrimt. rctinin, vi4;iit», iiii<) nrctlira. .\ii|>li<tl 
1» lliv -iirtiMV >if iin iilii-r for u fi-w miniili-n, wlii<-li i» u\ 
Iv t«iii4-ri*i^l, it uill n-mliT tli<> ii|H-[utii>ii iiltiKH [xiiiiliM 
til Uh' imiH-iil. 

■Vi/iwui fkriitf Gail. 

Ttita nw) » M)iuiiiiMi-nil lor tlio ]iiir|MHM' of pnidiii-inc 
iUMa«tlH<MK. Hitil i)h- a|i|mRilils tmit «iitr«l for itK iulniini»- 
tnti' r n -'vliiKlrr of nii>liil in wliii'li itii' |;u u* 

iiiK.i - it (tllibliiil to II riihU'i- lui); u'hii'li hjw n 

utiMiih)iti«v U)M(i)>il lt> it ; tliis is ]in>vtil<Hl uriili ii iloiiMc 
Vttlw, wlil«'li iirrvrtitf tlir rxpin^l nir fnnii |a>#)n|; Ini'k 
into Xhv ImK' i^ iii^>ut)i)ti<<r<i' it> luljii^tnl ovf>r t)M> mniitJi, 
■iimI uni't n-uHiviuK wit filler tilth, or lon-itni Uxliiis froiii 
tiM' niiuiih, thi- )wlR-iit i« in-^rw-tnl to tnkr (l<v|>, full 
ImM lialf [■■ iitM- ininiili' iIh' fail' In>- 

11II-1 ^k\, »mi iIm' l>ntilliin>; (■'■iiniiM 

^■•ritLtMUt, uMlMutiiii; lluit tbr |Jcitn-ul is fiillv iin<ii-r llir 
iitltuanmMtf tin- |I»a. 't\w uur-llK»i« fmni aitnitt^ oxiiU' 
ralln4^ Iv |>ni)»«i]:t«l Ktr umn- thma a i^ minaliv, m tlml 
it i*«M onlv U- tiuitltiwit in o|»-t»tii««- mhi^-li take ■ -hort 
tinM' li>r llii-ir |>-rti>ruuiiKv. mm^i »r- iti>' i'\tnt-tiiN) of tM'th. 
' OpminK vTlktMWwnK «wl Ni|Mr<i*iu ufili'liiottion- or fnu^ 
Mfl*. In KnpkuHl tuliww nxiAe U frvi^wntli am^l to 
|itulwv uiH^lwMii. ukI w-bm tlu» TVMtli H aiiiim|iU4in) 
ihr MMRtfhn>n i» Iti^ up tn tW ailaiiaialratiiin >•( rilicr 
Irr tbr <-vi|ili>vnM«l '4 m vfrrial ■|nMrellM itr^i<nl for thix 
.V: (mIt ie>r> ■•• BMrt rvr-nlT fai|>k<Tr«) 

-1!^ I>naltin> ummUhhw br tbf maHt-a) of 

trrtll. hot » aLai •n«Mi>nAlljir nupWrnl i» MJanr mrtnisl 






ANJISTItXSlA. 



213 



i>|H-niiionft: Ihk rn>nt ilii< fitd tlml ihf ii|i]uiniliii> Tor itH 
i<tii)iiiiHimrii>ii i- It l)tilk 



V one, iLi iiM> ).« mil il< niiivTiii<-rir 



rtif rrJii-r or rltl'iriifiinii, nml in tliiw omiilrv it U not nmi-h 
i-iii|ilov(-il ill gfiH'ral stirprj'. 

tKriiEU. 
Siil|ihiirii- vtliLT M oiiv of the diohI wtiU'ly ofuitloytxl 
(•iiltfinixi'': in Miri^cry (i> |inNltici- iiiiif^'tlK^Li ; it i'' |>r<ilKiI>ly 
llu- ratWt (•!' III! uiiui^rhi-tii.'», nnd fur iliis ruirion r^lnnild Im> 
|Ei%'4-ii Uk' (>n.'ri>rf»M^ nver uU othviv. 
A ]i»li<-iil kIiiiiiIiI Ih- tin']uirrtl fur the wlinintitnitioii i)f 
i-rliiT liy not iilli>M*in); him to Imvc »ny M>liil tiKxt fur »t 
1^ l>-a>t MX li<>ni> licfori' itr^ iiihiiliiiion ; hv «li'iiit<l Ih- in tlti- 
Vt^'<'*i '■■'■' 'lit |»>k1nn\ hihI iinv ^{-"'ini'tilf' iilxnit thv rl)(«l or 
mvk "lionUt In- loiM'iKil PS" thill (liv n-^iiinitory iiioviim-iH« 

tan- u<>l intcrfcnil uilli. Tin- hiii^>u stioiild uW dcv tlinl 
■iiy faluc ti-M)) or fon'i^ti IxKlitf wlitcli may be ]tp.-MTnt in 
tltc nxoith »rv rt-ni'tvc^l bcfiirc th*- uitniinii^tnilioii •A' th<- 
<lni|; in Ixi^un. At> tlti' vii]Hir nf t-ilicr ollcn crxiMi^ irrilu- 

klion of rtM> ninitm^ mcmtinim' of thr liii?< uihI tiiLuiil imh- 
Mpv. it IK wvU to uiioint IIh'h- [K!irL» n!lfi a littlu viiM-litic 
or (iiM-titiim bpfnn- ndniiniKtcnnK llin ether. 

»lt iJiiiiiliI uImi Ixt Ijorui'ln niind tlmt the va|M)r urt-tiiiT 
[m wry inHiimnuiltk, simI ihal it Li iKnvicr lliuii Itic nir, m 
lliMl li)>Hl)> (in><it;(tl nittr tlic juilii.-iit vrhilc ttt-inj; ftliiTin^ 
ilioiiltl Ik- lii-M 111 .1 lii;;)ii-r U-vcl llinn thr dlii-r (-iin or 
intuth-r. 

For lltr lulininiMt nit toll of rltn-r ii towi-l foMnl into a 
nmenroiM'of (Ik- vnrioni' vtlx-r inlntU-rv niuy Ih- i-niployttl. 
The \Mt4 of iIhw i» Aili»V ininiirr ( Vig. l-'l-'O. wlti<-li "'ii- 
HiHtA of ft imitillio tmnu-woric nivt-ml u'illi l<iitli<-r, M'hirli 
iiarri<-H ii iiunilxT "f f<i\iU of ii rolUr IkuiiIi)):<-, (livinp a 
"tiHinv (iir itn- nqiiil ('vn|H>mlion of tin- ilni^. 
a to«'-l folilii) itiio II ii.iK- i" ii-t-d. It tiw Ijivit" "f ■lill' 
inii-r|Mm-() iM-lwtrn lltcotittT lityi-m of tin- lowcl ulll 
n'|i iIm* iiiim* in nliii|i>- uimI will iirvvt-tit llti> i'Vii)H>nilion 
iif lli«> riln-r fnini il>> t-xU-niiil -iirliur. 

Ju tlrliiliiJt(<->l |<iitiviit)> or tliuM- who iin* wi-iik fntui lite 

10* 



I 



2n 



HINOK SUHGKRV, 



I11K8 <ii' lilooil (Ik- futiiiiniHtniliiiit of Uiiir nil iMUtii- I'l im 
(nirn'1' III' wliUkfv riNiiii tiflii'ii to iliirty niiiiiilun iH-fiirr llii- 
Kiiii.'^lliilii' in ^ivcii ii* iilK'ii :idvit<il>Ii-. 



na-UL 




AUU-i rtDvr iiital«r, 



III iiiliiiiiiiMrriiifrflli<-r,)iiiiritn oiiiHf iirdltrr it> imiinil 
..viT ihi- imiiT Niirliiif nl' iIh- IkwcI or iiiluiliT nnil it i« 
tiniiitritt iii«r llu- iitiiiitl) iif llu- )Hilu-nt, mul lit' ic ntiHi>1nl 
to Ink'' (l<i-|i lin^itlf or hi litow (In- i-rln-r u\niy, nn>\ a^ hniii 
Utt lit' iuL-t lit'i-riiiK' tuiii-itiitiKtl 111 llii- irriliitiiiu ijiiiilitiiTi of 
tin- hIkt VB|i.ir. till' «i)m- or iiiliiiliT ip« UM Urmly owr 
|(h- iintutli mill lum: iiih) (lit- vngxir it lulmiiiisti-rrd in uk 
(■ornvtitnitiil 11 riirm w- iximililf; it* lite tx^|>iiinttiiii luiil 
(■in'iilnliiiii iin- phhI ih<-n- i* n<i ■■(■'jkIviiiiIii^' in [HKhiiii; 
IIm- i-lliir. Wlii-n i)h- ivxijiiiK-livri i> in-uiiHilili' (o llic (niii-li 
iifdii' liti/i-r, hikI till' niiiN'iilnr ri'tiiviiliiin i.-> i'r>iii]il<'lt',uiul 
111-' linmliiuj: kimI- totNiimic "tfrtnii'iii'. ilir ^(nip-nf "1111- 
pli-ti- iiiiinillii-Miii liMH Ihvii n'lK'lHil.niHl iIh' ftlirr hIiiiiiIiI 1h- 
wittMlniwu fur II timr or olimilil Im< ^ivi'n ••lily in mk-Ii 
i|UAiiliti<i) iiti siiHtin- 111 kivii till' ]Hiti<-iit ill lliii* (iiiitliliiii). 

Ttw fiiNt I'Hiil rnitii llii- iiihiiliiliiiii iiri'llii"!- i« ti' )inKlii<v 
anrli-mtitii) nl' lli>- |iiilw itml n-viiinitimi ; tlir ihikiiih kii'iii- 
liniiM- iif ilic nir-iiiiA«i}^-H i- irnlntifl nitil nxiirliiiij; <ilVn 
onnira; tlii-n- is hImi in itiin r^Uiar a ilii>jHiiiiii>n to niiiHi-iiUr 
luovt'incnbt, mivl It 18 IW<i|iKnilly iiixiiwnry l» n^tmiii tlic 




AN^STHKSIA. 



21d 



tmlMiil ; th(> bruin ln alw) exHUt) and tlw ]iatieiit i» ant Ut 
i-rv «>iil. Th<*e Hvni|>t'iiu& itiII for ii contiiiiiamf! i>J ih* 
BNtfiiiiiiit-tnitinii nl' t)i<- other mid not tnr itt' witlulntwnl. 
HSiiniiiliii); tliiii stajp*, if tin- rthtr is |>iinli(x1, pmloiind 
^KttiH-KthoHm takf!) |iln<v, as is c vide need liy ]«!v of tini^'toiiM- 
Hn<->^, rt-)irixiilioi] of tlic niiistiilur svstciii, itioiHtt'UttI skin, 
litw of the s|Nviul st'iisi.'^, iiiiitiiKrii-d |>ii|)ils, and slow and 

■ Umlcr the oaine offirri iruenaibilUtf /ram Hhrr there 

^^i'xistp' i^urly in ttiv (nuirsi- of tlif iwlmiiiistmtioii of vxXwr a 

|irimary iina>i|li<'>tii. whicti liistt^ liii- a tuiniitc or sn, and 

*Kliii-)i may In' liikoii a(lviititu(;c of to iK-rforni sm-h iiiitmr 
fiiir^ical •i|>cn(lionH ns the oiM-niii); of nil ali-iitTtfi or ihv 
nitiH-tiiiii of a diNliK-utioii or Inc dniMiii); i>f u (iHilh. 'Dm* 
rcv»t\vry from (hie mtiilition is ii^iiully very (mjiiipt, iind 
il ifi not follov'i-d l>y imitMii ami tht- nOiT-fHW-lh wliii-li 
nrti'ttd ihr |ir'>loii<;<il;idiiiiiii''lititii>iiort-tlK-r. I'liriii); tht' 
]idiiiiiii4tnili<iti of lilicr, |Kirlii'iil:ir]y in iIk- <iirly Map', tlit- 

IMtiiiil may s(o)> )iii':it)iiiit;, tlic laiv at th<' saiiu- (inn* 
H^-oiiiiii^ (■yainw'il; iliiscoitdilioii call^ for tlic witlidniual 
«ir tJH> vtlior, aiMl if a dti-p iiuiiinition iloeu not <)iiirkly 
j^folhiw, (tivwtiirv ^hotild lie made ii]><iii the fniiit of tht- 
Hfh)wt, mid uhc-n thU is nhixed a dtfi) ins|>iratiiin nsiinlly 
tuki-s |)taii' ami no fiirtlu'r dilliriillv is ■■\|HTi(-iiii-<). 

[f lh<- gmlii'iil has i-atiii s«>l!d fotxl s)iortly iK-fon- tlx- 

'thi'rimlioii, vomilin^ is a|)t lo ■■■ciir; when this tak(?< 

|ihiiv (lie vlht-r inhaler iihoiilt) be rcniovitl iind thr heml 

biiiihl lie lunii^ III one I'idc, or the jmtieiit dIioiiIi) Ik> 

I ii|Mtn his !r«\v, the tnoiilh \»\u^ kent ojN'ti to lacililHle 

H-a|ii- of the V ilitl miilters. Thi' hn-nlhiii); also 

somi-limett Ixi'otiiei' oliitrin-li-d by the luiiiiniilalioii nf 
mum- ill till' fniiceh ; ihiiii uhoiild Im- n-inovMl l>\ rfiiiall 
»<|H>n|,i-!4 stvnrely tiistem-d to H|>>>n)^--ltolih'rw, 

When iIm' niiHylbcitiii ik iirofmitid it Minietinux hii)i|M-nff 
lluit the nmw-iiliir r^-bixaliim in wi 4^w>n)|il<-lc tbiit the Iniicne 
falls Uiekuiinl itlid the );lo1li« is eloMtl, rile fa<->' Uiiniuv 
Vynnosed and lli>' [iitlH- fn->|iient iind im-^ndar. and di'nili 
t- ihn-itlimil from :L><|>liyxi)i ; in thin iveiit (lie hnid slioidd 
Im' eji (ended oihI (lie tower jiiu sliontd In- |in"«M'<l toruanl b_v 



¥t 



^ 



lA 



IIIKOR SL'RdKRY. 



tlitr lin;;:i-n' |>lai>-(l U-»tiilli tltt- nmiitK iirOi<- iiiflrrinr ituixtl- 
litn- hone-. (Fi^. 134.) TliU iii]u>i|iiilul»>it 'is itMtiillv put&. 
I'k-nt to re-i*tabIicJi tin- nftiiinitorv niov^iin'iilis Imm if m 
fiirtiinnto u n-^iilt tl<n* iiiK tnkc lAiut- iirtili'-ini nvfiiniiion 
kUikiIiI W j>riirli>^?il — SvlvciikTs or [lowunlV idiiIkhU 
txnii); pveii tin- iirrffri'ini- — tin- luitii-iilV liiiw) t«'iiig 

Itliu^^l ii|»itn a lowt-r livcl thai) tlic IhmIv, liir liiii|riir 
tniiiKht lorwnnt, atul the faiii'i^w lN'i»|{ clcnn^l i>f (iiik'uk, 
The nt*|>init4irv arHoii dhtrtiUl aim Ik.- Ktitiiiilattil liy tti" 
u«* I')' I'Ui-lririlv— <inc siXHip'-flL-rtmik' Im-ih;; {iliKitl «ivit 
lite MtTiiitiit, till- otlicr Ih-iii); u]>|iliiil to lhtt,r|>i^ii>tniini 
tliirin^ nil iii'iiintliirv 4-fl<>n. 

Km. im. 




rr ..^a.^t 



j. 



rilv n|»|tli(^I ill 
nf a nuif>k 

■ i^t"!****- ■*•■ ("IP" 

4^ imIr- attnrtixl, 

W 4^I|V<) inloilir 

1 rai4N«b«ii i»C"(irftnllv 

< ha* nsQlbil inMii )il<Hit| 



I 




ArrjRSTHKSlA. 



217 



I 

* 



'fi|M-iiiiig lilt- ImHicn nixl inlrcxliictii); ii trarlttnl iitnitln, » 
nibU-r tnU' nml Ih'IIowh in tiHiDrctcl with lliis iiikI rt^itir- 
itory iinivcmviito iir<' Niniiiliitiil liy Ton-iiif; air ilirvt-lly •■>"> 
Jii> trni'licii. 

TIti- livfvMltTinii' iiiiit-tiiii) 'irMrvt'liiiin, it(n>|>in, or dipi- 
InliH is nlwi tt'ciiitiitti'iiilitl, iiihI lli>- iiitravi-mHi" iiij<vti'>ii n\' 
liiiiiiunia is !«i<l t'l luivc \wa fnWnvmi liy g<>u>) rwiiltfi. 

KfTnnri nt n-Hii^'ilMtioii in iUt-M- minf hIioiiM U- |rt- 
I'wml ill frtr lit IiiiH luilfaii liimr, w ii)>|Km'iith- hitiK-lt-MK 
^•f* liavi* Ixt-n wivmI liv jH-miolnii iiw nf t\n-M' iix'uris. 
Till' |M'rNi>n iiitnHtiil Mitlt tli<- .'iilitiiniitraitioii "(' th<- 
i||)t-tii' stiixild M']ili-li (III' )i:ilii'n1 cIim-Iv iiiiil .^lioiilil not 
p lii^ nttciitioti (liviTUil Uy lli<- i>|M'nilion ; hi' Klmold 
:in>fii|Iy H'titi-li Mm- juiIj*', ir«|>init)(>n. nml ilw wilur nf th*- 
;inlii'i)t'H i'ttf^, nivl tic muly tn witlntniH' ilx- i-ttnT ii|iiiii 
hi- ilcvf)>>|iiiici)l of Miv ?i\'tii|i(i)iii of dniifn'r. :ii)<i lo tuti-l 
wii<-)i ;>yiii|i(>>iit!«, mIiohIiI iIk-v iiriiM', liy llic uw nf niiiio nf 
till- iiiiiiii'' |in-v!i>iii>lv im'iiliiiiM-)!. 

Thi- ndhiiiii'imiiiiii <if i-lhrr vHjmr hy the nvtiini wsis » 
li'vr vniR< ii^ii •■iiitiliiyitl in nuitiy ctin*. nml NhhixiKli »iut>^ 
thiwtii vni» i|iiii'l(ly pnKlmi^i. <hiiip'n>ii>> >tyiii|ili>iii^ ^aiim-- 
titiu'H Rillitwiil itN •■m]i1i>yii)('iii, m ihnt tlii)' tiK-lltiHl tif 
Mtliiiiiii.'>tr»ti>iii hnn Ui'ii .-ihiitiiti'iM^t. 

yomilinf/ niVr (lie iiiliiiiiiii>tr»ti<>n nl' rtlu-r i*' vitv iiiiii- 
iii'iM, iiml if it |»ci>i.->1.-> tiftiT n IVw limipi it may In- n'licvwl 
|iv ihi' uitniini''tmti<>ii nf thf t'oiirlli of n )rrnin nf nHvinr 
M'tlli i-niMlinl in*, n'|Mtitiil tun or thnv tiiiK-", nr liy the 
iMMi|'crti.ihii] in- wiili chniDiiti^iic nr hmmly.aml in wiini' 
vopfn ihi- .■•Miilliiwini; nf ii few iiKhtithfiiU nC vi-ry wiinii 
wiitiT will nlirvr thii itHiilition. 

All iirui-htlii-ti'' .■•liiiiilil never U- ^iveii to » Hnnnui 
Hilhoiii (III- )in':MiHii- of n tliiiil iMTSon, UN in Minn- (iM-x 
tliivi- np-iilH ){jvi- rLte III rn>lte dniinis, iind it nmy In* difli- 
lo diHiiliiM- lh<- jKilieiit'^ mimi of the iih'ii lliiit nti 
idl hiiM Li-ri <i<niiiiilli'd iinh^w llii- i-vidcti4i' of eve- 
WTliier*** nt ihr tiiiieof theaiiii'^lln*tiwittoti niti In' hpoiijrhl 
loninni to prove tlin' mm-Ii WiL- i»>I the •■nut; 




HIVOR aVRniEKY. 



Cm/inu>it»tM. 

A luiliciil i" |in-|xin-<] fur llirii(l[iiii)i><tnilH)iiiirrl)l<inil»nii 
a-* in Itii- iiiM'iif'i-llK-r, Ihcmini- jiifniiUiiMii' lii'iit(i tHkiit iw 
n-pmU till- n-moviil nl' (bIm- lix-lli or (iiix-iK« IhwIh-w ('nun 
till' iiiDiilli, line) towi-ltuil tli'M'lolliiiiK nlxiiil llti- •■\nvt iiiiil 
Ufi'U ilovf nut Rwtrii't iIh- '■in-nliiliun i>r r<!f|>inil<>r> inuvv- 
nicnU. (Iiiuntfunn in <vriitiii1y n uiiirh luort- dniif^fnMio 
tinn-HtlH-tir' tlinn rtlicr. iim) iiltliimgli it in uicldy iimiI in 
till' Itriti"!! Inliinils :u)ii itiiun itio (tuiitincnt, it ih not ()■«■) 
in tliir* cimnlry i'X<v[H in "'rtniw ilisiri*"*!!— iw in ilic 
NtiillM-rn H»i| MiiilliU'i'Mtcni diMridri uf tli<- I 'nilnl Stnli-o, 
mid licrv iln iiw i» fiilloKt^ I>y fi-tv<T fiiitiiiticH |)inn in (Ik* 
tiortlirni diHtrii-lj*, ai (Imt il i.-< jHi'v-ihli' tlmt ilx ii-c ih Mitrr 
in wnmi rlitnaliM. ('linitnl cxihtioiiiv litut ili-monMlroui] 
tlic fliii llmt ■■lilonilorm cnn In' il-khI in i^t\ nnil very 
yuitii); Hiiliji-i-t.-> tiiid in pni'qx-nil imlii-nbmilli ii)in|iikmlive' 
nnfHv : it iK iilsii (o Ih- prclirnil tot-lJirr in iKttiriiln HiitTcr- 
itifT Inim cniiihvH-niK of iIh' Innvpi, Itnini'liilio. nnd vnwnW 
<l(^-iit-ftil!oii 111 tlir ki(ln<-y.->. II in hImi <'Mi|i|(iyt«l invtMiil 
i>f t'lIiiT in u|M'niti»nH n|Miii tin- mi>nlli wtn-n llu- iMinal 
miiU'ry io fnijiliivttl, mi lui^mnt uf it" IcnH inl1nitiniit)il<' 
clumulcr. 

dilumronn in mlinininlcnil Ity jHitirinif ii dnidim of tin* 
dni); ii[Min ii fuUliTl luucl, wlii<-li i^ fnxt ln-ld » few inHti^ 
fixim l}i<- nioiilh iind nof' iind ^milunllv tironi^lil niiinT, 
Iwt in nol nlluvrtnl t<> iimw in n>nlju-t witli tlx- liicc, mh (nitn 
itn IihuI irritulin^ iicltun it Mill IiIiMjt tlir MirltKv ; tlii< 
nnirHtliHin-r .ilionld niiwnilM-r timl one nt tlir diinp-iv in 
till' iclniini-tmtiou nt' i-lilun>runii is tlir r'\'*k *<( !•>•> )tn«t 
iiin^iiiiniiion uC iln vn|«>r, ^> llmt lir kIiuiiIiI mv rhitl a 
-iiltii-iini .-idiiiivliin' ul" iiliiiu^jilurii' "ir litkt". jiliiiv. I'nt- 
funiid iinn?(lK~<iii in i-viditK-c(f t>y iiL-MiiiMiliilily uC tlir it>u- 
Jnni-tivii til Uh' touch, l>y iihii|>Ii-1<' lunwiilnr rein xiit ion, 
mid liy tin- nt«-mi' uC n-Hcxi-^; llio jin|iil^ in Hilomfunii- 
aitiiT!' I infill HD' nKiitillv 4-tinirai-li«l, ViirimiK inliiiJcrs Uiivt^ 
In.'*'!! ilcviw-it ti> nv'diili' llic uiiiuunl ori'lt1uti*f<>nii lulniin- 
inli-riil iiihI to Hti-iiri' Itu' i>n>|n'r ndmivlitn- <•!' nliuiHii)ii-rii> 
■ir, juhI |Im- Ik-sI uf ilicw in jmiluildv Mr, CluwrrV 



A!I.I[STnKS]A. 



MilMnilUM. (I'"k- i^^-) Tlib* (itiiniMn of ii Ini^ lioldliift 
tUMlt i-tiltic- iiidirH nt lur <i)iin(i-1<il wit)i n liiu-|ti<Mv hv ft 
Hi-xit>l<' lulu-. Thi' I«^ i* flinppil Uv nuTum "f ii In'IIowa 
(Viff. ■•Vi, 1) MKti^iiriii^ 10I\ fiiltic iiti-]tn« ; iiml ihc tiir i* 
tMiwitl ihnmt:)) It liox Miinuitl vritli liol uitliT, itiln mImcIi 
I- irilnMliitiil lit i-iK'li rilliii): nf the ImIIohk ii.-> iiiik-Ii i-IiIii- 
n>r<inM nx h ni|iiin^l l<>r IINH) i-nliir itn-liii* of iiir. THh 
ifi ilitiir wiili n nvriii^- {i'la- l-i'i. -); (Ih* ainntint nl' 
cliliir>ili>riii rtiiiiintl in iiMiiiIjy from •'{(> lit -10 miiiiiiM. 



rto. us. 




ttu—ft ahbwilbmi ap»«FMiit. (blrMax.l 

Wlii-i) till' UiK in full iJtf tiilie is n'itti)Viil I'mni llu> 
••v:i|»>nili>r iiiul tin- lii>iiirl)|ii<->v (Fii*. l;ln, ■'!) i" titlnl l>> i(. 
A<l<lirii>iiiil itir tnn\ U' iidinittHi liy n-^iiliitii){> llii-ni/^-ol'thi- 
• ijM-iiiii^ ill tlir m>>ii(lijiiiiv ; the |Kt(i>-iil, liowi'vi-r, ■■ntimil 
itiivi- n liinjTT iiroiMirtiiui of i-lilnrurDnii timii llw iiir in 
V' Ibij; i" <'liar)^l w-itJi, 

IMilli I'roni the iMlniiniMnition nf i-lilorofiirm nTiiiltn 
lien i^nlinr >>yiini]N- or trotn pfwjiinU<iry iirii*t, ninl |I|4> 
mtpriMio i>yiii|>l>iiii> (Icvflof) w> nij>i<llv tlwl lln' i;n-»li>-l 
|r>irii|itti<w> i" n->tiiin'<) t<> iini-l tlwtii. TIk- jmixid iiiI- 
uiini>li-riu); i'lil<in>r<>nii xtionlil (.iiiiwiitntlv wiil>-li ■■•lli (In- 
IiuIm? ami iIh- n->|iinuioii, nud f^miild ii(i< lur ii iitniuvnt 




2-M 



UtNOR aVKflKKY. 



Iinw \m iitlfiition «liv<>rictl fniin iIm> [kiIhiiI ; i;ntil 
vi^ilutKf' \f here, if [xi^ihlo, iimrr iiii|H) riant thin tliiriii|; 
llif iKlmiiiiMtralioti of lih^r. 

When ilAiiKrmiifl Hvoiptoiiif iirLw> tlicv im* t<> Ix' (n-iilcti 
liy lowering; (W {inttpnl'n Ih'ihI, iiiiiI if n-fpirutiin' nm-st 
Kill' iM'<iim>() (lie Eiime iiimii!' I" Itriiig nlMxil nviiinilory 
actitm F^liiiiilil U- imjiloyiil nt, for it Miiiiltir fiitilitixi) 
iliiriitK i-tticr iiiiiiiiHitt. C^irtliiu- mvihii|><- i<^ In-nti-'l liv (lie 
iitw III rki -trinity, tlif vWlnMli* will) :i ni|it<lty intern i[»liil 
i-iirn-iit W-'mti ««v(>l over tin- i-la-rt : liy|)oclermi<> nf ilijii- 
tulift niid )t1n'<-liiiiii iiiiil iitmitiii niiiv In- fniplnyiil Ia 
sttiiiiiljiU' the itcnrt iiixl nwiiinition, ami :ih in pilxr namwi'i 
tlici-Horti* "lumlil not lH.-<li.>>i<itiil I'linii tiir miw liim-, t» Iiy 
llii- ]>frhi>l<-iil i'iii|iIoyim-iil iif iIh-m' iik^iik ti|>|>»n-iil)y I>ii|k*- 
U-nf mwT' luivt- iHrti ixfiiwitntiil. 

Tub A. C. K. MiXTt'iit:. 

Tliift ntixltire, wMi-Ii nuiMulf of '\ |inrln uf Htltmifitrni, 
1 jnirl III' hIht, iiiicI I gittrl »f iiltuhul, linn Im'<-ii i-initlnyii) 
liy *>iiM' Miirjrwtns ill lln- |ilj»iviir«'ili(r ov i-lili-rt'lonn, nilli 
(lie lAfu tlixl tli<' ilnitp'ni nf <-lilor<>fi>riii an- iliiiiiiitHlitil liy 
llH iiHiiliiniilioii witli clln-r itml nl<-(iliol. Cliniinl vx- 
lierifiM-e, lumi'ViT, lum iml pmvitl Uiii^ view t<t U- mmTl, 
iiikI 1 MV till ailviintftir' in tlif iifx- nf this (i>iiiI>inHliiiii over 
thill of Hhi-riirrliliiixifunii. H'mltniniMliTitl uilli »« iitiirh 
mrt- af i'Mi>r<>riinii, it*' Nilrnini^lntlion ih iMii>iii|KU)iiil uilli 
Ihv >4iiiit' mifi-ly. It f^lioiiM In' iiiliiiiniHU-htl ii|-in ii timrl 
ill till' FViiiK- iiitinrKT tif I'lilomlorni, iiinl llir )ictliriil f^lioiild 
III' \viit<')iitl w niix-rnllv <hiriii|{ iln inlinlntitoi um tliiriiitf lliv 
niltiiiniolnitioii •>!' iIh' Ititt<-r tlmg. nnd •'•iin|iliiiiti<>itT> im^ir- 
rinii nlitHilil In- tn-nlni in iIm- kiiim- ninnnir if thiiM- nriniii)t , 
(ltiiHii)f thv il»c of Hii'>nili>rni. 



TruM«a. 



A IntM Rir Ihi- (Nilllntivc tn«itiii<*ni of h<>niiii U m inr> 
fluini'v! iiuilriviiiMT mIiIi mir or ni>tr>- |int|<' iiinl n otnii*: 
tJiiT«' un.' 1m-M iti jiiwiiiiti) t>y a Hitniijz In whi<-li lh<-y urv 



TRl'SSRS. 



221 



rhiil, wliic-h lioIdH till' [kmI in (imliiil wiili the nkin 
jtviT Uif Iti-rniiil riii);. 
Tiu-y nn- ii[>[ilt<il in iilt niMi* n( n.<<liM'i1il«> iHTnia, nn<) 
iiMi) ill till- Irmliix-rit oC tii-riiiN iit nil ii^cm i tii iiilhiiti* 
iid vi>iiii|i i-IiiMrcii itH< itmtiiinol tm- of » ]mi|>i-rly fitttiig 
turn in tiiit-n rii)lnu-<il hy a nuVnti\ cnn' iit'liii' luTiiiii. 
Trn!*i*r* iin' inndi- with >tf'\ ct riiWwr niirinp" uihI witli 
tU iif wiwxi, riilitM-r, •vlltiloiil. "I' h'ir*i-lmir, nivi-iTil wilh 
iliiitiiiiH, jiihI their ^liii|M' iifHl tlic pn^xiiri' whlvti Ihvv 
liiiiilil i-xort viiri<«i will) th<- variety <>f hcnitii lor whicli 
llii-v iin- x))|ili«l. 

A Hrm roiiiiin^ii^ nft|ili<>(l over tlio iri|ritiiiiil rniinl nr rnirnt 
Tug, s«viin'«l id txisinoii Ity a (imily ii[>i>lii'<l r-iiiniHil-llH'- 
Tiiin luimln^-, torin.>* » vrry .taii^itkctitry ti'nimmiry ntcwtti 
l>l'lin'v«-iitiiip th*- (ItMtut I'l'ii hcniiii. 

A iioiM-rly litiiii); tnixr^Alunilil L- worn nttlioiit tii.-*«vnii- 

»rl to the [tali^rit — ihitt », should not iiiiikc loo niiiHi 

intwun- u|M)n the Mn ut the ]><>intt< when* thr |Hult« nre 

|i|tli(i) — mill ultoiiM nli:«<)hiti-ly |>n-vi-iit th<- (tiwviit nf iho 

Bfnnti. Iti h'nlii);: the twli-i|iiiti-v of » triiiw, itfli-r ii|t|ili- 

ilioii, rn [in-vritl lite i^iiiH- <ir tht- hcniiii, thi' |Miticiit 

ihoiihl Im- tii^r(i<-li'<l to '«-|iiiiiili- hi* li-|r>, Ih-ih) furwnril 

|>v«T the Inw'k of a i-tuiir, nmt (xiii);h nr Mmiri ilifiily ; if 

Umh iIim-h not hrin^ tin- iHTiiin down, ilii iiniirol of llu' ni|i- 

^ttn■ may In* t'»ns»k'n'<l f«nliHfti(-t>>ry. 

Tni!«4S -ttoiitil Ih- n|i|)lr«il iilirr lh>- conijili-ti- nilmiioii 
|Df tliv hfnii:i, while llic niilicnt i.« in llic i-iitiniUnt |hm- 
tim-. VVhrti fitvr ni>|il!<t1 th<- lni.'*< xhonhl Ih- worn Uith 
^^nriii)c till- iiijfht nixl <)h\, jumI if thi- ^^ktii [kiihiu'm Icntlcr 
^■kl tlM> |H»iulAof pmvoinr it kIioiiIiI In- M)ii>o}(itl witli altiihol 
^bikI nitim, llu-ii ilrtiil mi<) dni^tiil with jHiwdcrttl >^tiin-li or 
jH^VKtiKHliiim. ISlii-itli' ill lirsi M>iui-linH'^ iimiiilain of dtf- 
^iiifiifort in wt-jiriHU ii Ini*-, Imt Ihry MHin Uii.rn*' mx-ii!*- 
liKUtv) to its ((H'winv. \i\rr :i tniriH hif* Ihi-ii worn for 
>mi< liinv its iim- nl iittflil, while llii' imliciil is in ttnl, 
lUty 1m' il!A|M-nMtl willi, hut tin- |iiiti<'ii( nli'mlil not n-niovc 
until be ie in li*<<) in the ni'iimlH'nt loixKirc, niiil In- fihoiiM 
iiiiiftly il iN'riin* III- rises in tin- ni<<ri)in£ In chihln'ii il 
I Ix'tlrr In hnvr thv tnt.4!' w>in> fonliniioiialv, iiml if it \a 




ooo 



MINOR nUHOKRY. 



rt-iiioviil fur luilliitif; tlx- ri)ir<<- hIkxiM lie iiiHinirii*! In 
[>linv hi-r tiiiK«T iiviT lli4' riiij; lo (irfvnii tlu' <liv<i-itl of llii- 
lu-miii until tli<' Iniw U i-i'iiiiiiIhiI. In ii[>[ilyii)^ tnif**?! 
Ill innli- ■■)iililrr-ii nin- )>liiiiilil \w lakoii m>( In innk*- prt^wiin' 
iijMiii alt iiiiil4<MVli<lc<) lotlitrlc. 



Titr!M»» iMK Iniu'inai, Mkiikia. 

Ill Du^uiiirinu: II lEilu'ilt fiir tliii^ fiiriu nl' Irnw Uit- fir- 
coin fi-ivncr' iif tli<- iHtdy niidvtiiv lK>tw«-n tlip rn<at nf Ihc 
ilium mill tlitf Krfsl triH-himtrr riltniilil Ix- tskt-n, uitil ihi' 
ilUtumv fDitn tw svm|>liv->tM [Hibis l» th<- niilfrrior Hii|MTriiir 
H|nDoiis piNK^t-M) of till' ilium iiuv uImi In* Ki^'(?n> <u> liairiif 




Tnm lot mgillnkl bcttiU. 



lliU iliiiUiiKi- inirnsjiiinil.'* tii tho [xiwlii'ii "f lIi"' inli'mi 
■iMliiitiiiuiI ritiK- In rttliiciMf initnintil In-rnia llir ini'^- 
|>n<wiin- i^liiiiild Ih> oxcrtnl U[Nin tltr in|[tiiitiil ninni uim) 
(liniHly tnu-kwnnl. To itmlnil tin* variotv nf iM-rnin a 
-iiij:li--!'jin»t: iriif»-(KiK. i:t*()'i<i>v lM'i-iii|>liivwl,iirlh<' anv 

nu. »r. 




Il«ii>ri IniaM, 



i>r It tniNM liiiviii^ n iloiiMc Mprinn witli Hal |k«iLs mi utoi 
Mill' III' Itir •>|iiit(' hIIui-IihI til l)i<- n|triiii;!', iirnl ■ Miiollvr 
IMmI IIVIT iIk- iiiiniiiHil •luinl •>» ilir iituifrai-utl nidr, with n 



TRtrsSBS rOR U1IHII.I0AL IfKKKIA. 

Tiill \v)ti nil llii- Hide of llit- ht-niiii will oAcu Ih> fmiml 
ituwt Miti-fiwliirv, TIiU, wlni-li in known 11.1 IIixkIV irii^w. 
IH Kilt' wliicli will Ih- rmiiKl n very nitUitui-lDrv iiiHlninicut 
liotli in iiii^iiinal uimI R-nmnil hernia. (Fi{i:. V-il.) 

Tiiri«tw »^>it Kkuoii.m. Mkknia. 

Ill iii4<ii*>iiriii>: It |Mti«-iit fiir lliio variety -il' triL>K, llio (jr- 
niliili'n'iiiv iif itie Imilv mi<lwiiv Im-iwh'ii titf rn-sl nf iIk- 
iliiini mill llti- jin-M tr>ii-liiiiiU'r kIkhiM Ih- iiikcii ; llic (Iik- 
inti'v of till' HiipliriioiiH «)H-iiiii^ fn>m tlii' Hytii|il)vp<ii> |)til>in, 
lU vrdi MM Initn liie tinh-ri'ir iliiu- H|>iiii-, nlioiiul iilmi Im' 
lakvn. Ill rcliM-ilili* li-iuonil lu-niiii t)i<- lrtiHN<|in'!isiirc 
nIiiiiiM Ih> ilini-Ktl luu-kitiin] nftniiiM tin- tVnionil (tiiiiiI, 
iiimI iIh' {Mil >luviil(t Ih' Iniyt- cuihi^Ii to niakf |>r(M!itirc (||miii 
~ ill- luljuii-iit ti-miii-s tliroii^li wliirli lli<- )ii-nii» (kwwb, jt» wril 
ii|Hm till' rrliixail lt.-v«ii'?>n<vi.Tiii); llic li'tiionil iiiiinl. \i> 
iiiCiiiiuil lieniiii, cilliiT n Kiiigli! w ii tlmiblv ti|>riii|{ tniM* 
avTw ciiiploycil (Kifi, l;W). 

in ti|>|>lyiit); II IniHN fur fiiitnml lieniiu. mn' i<Jtiiiili| W 
ikrn to mv llmt tlit- |kiiI iUn^ not n^t ii|miii tlw pnliis, iidiI 
111;' rrninvt' tltr |>ri'w>iin' iViiiii tlic <-ninil riii^ iiikI tuljii- 
11I ttMtiK^ iiikI |iri-vrnt tin* |)m|M'r n>i)lnit nfihe iirroiii. 

Tiit'twKH roit UuiiiLifAi. Hkiima. 

In imiiKiiriitt; 11 ]uili<-nt llir tliif vsriety nf lrii«»«, tin- cir- 
•imfi-n-Dtw 111* tlic IhnIv ovi-r llii< iiinliiliiiiM hIukiIiI Ih< inki-ii. 



nn-Ua. 



rta.i». 




Uoxl't Wtm IM PM»>I«I biraU 



III mliiriltle uiiitiilii-nl IhTiiin llic tniM^jirrmim' (Jimilil 

(linitiil Inckuniil, niut till' (Hid xlioiilit U-iir mllii-r i>ii 

l('ii<liiiiiiif iiutr);iii>i <il' tiir riii^ lliiui nti tin- lu-rniiil 



224 



HIKOK BHROKKV. 



i>|M-niiitc- A (riiw lor tliiN vnriciv of h<-n)iii ."hoiiM luivi- h 
fliit or !4li|Hillv iitiivex |>a<l. wliioli is lu-ltl in iHwiiiioii ttvvr 
(ho iitnlii)i(iil rii)|c liv riiiitiiK >*f s)triri}r» haYii>i; (ixinbt^ 
\)aih on I'irlirr wiili- 1>( tin* Hpim' nttaclu-'l to llwir fxtn-ini- 
lif-j* ; lliost' iiif raf-rciicil Cop'thcr l.v n •'tnio ( Kijj, I '-V.'). 

A Hinijilc niicl sitir<fui-lon' IrtiM^ tor nniliilicnl licniiii hi 
iiilJintM (ion>>ihU' nl' a |>ciiny <-ovfr(J hv wlltcMvc jtliU'lpr, 
held over the unihilinil rine hv one or two ftiripc »( wlhc- 
Hivf ))Iiii4icr ulmnt Iwo im^Mti in width, which »ihoiih) In- 
aji|>li<it so :ts In »>wr in a1>onl ihf iuiti'rior lH-i>-thinlH >if 
(he IhkIv. a ]Mmnv, or a t^nmll. thit •■omprcMX ol' liiifii, 
will btT fotnid ninch mnn' '«itir'lh(-tiiry thtiii ihr iimiiii) 
nibbn* or cork ikmI Mlm-li is oficn pecnmnipntlwl. 



Ttti-HHiw you IitUKDtri'iHi.K IIkhma. 

Th<> iii>pli<iitioii of a trtiw) lo thii* \tiri<>tv nt htviiia 
Mn-nn>i> ttu- hcrtiiii rnmi in)itr\' nml iin-vcntu th<- fiirthcr 
pivtninion of ihf hrrniii ; •iw-n lnivM"> nn- "Cfiinil in ihc 
Maw wity itM ihoMF for niliiHhle iM'niin, IhiI Uip imiIh nn' 
iiuuir ix)nmvi' or <'ii(MJtii|ic«l, or imiy hiivv tin ■ir-<-nnhi<iii 
■llurlKi) to ihf |khI. 



Use Of OfttheterB end BoukIm. 

( 'iithrii_-r<t arv hollow iiiInw, nimlc riihor of im-lal, Indiit- 
nil>l>i-r, or other iVxihh- i^iiliHtiinii^ 

MftnVie fftlhrirrn an- ituulc of nilvvr, or, if w>ni'Iniil«*l 
of othfT nx'liil". (ln-y xhoohl In' |>lal"l with "iU^-r or iiti-kcl, 
to niv<' ihi-m w Miiiiolh. I>n(;hl "iirtinv whii-h itiii i^mIv \» 
kr|)t iN-rfii'tly clfim ; iim! ttn-ir HhaiH- ithoriM conf-inn to 
thai of ihr iionunl nn-thni (Ki^. MO). The »\a\\ie of ibv 
itH'liillic tiitluHvr !■ Miin<'lintn< i-hiinff^nl 1u ninl i-crtiiiii 
indiivtionn : flir irinlnnii' thr- nii'inllic <iith(>ti<r for iim> in 
niM* of <-n)iir):)-(l {)ni-tnti' \- |iinp-r iiod hiL'< it liirjfiT curvi' 
Ihnn (hi- •inlimir\ inhtrnnii'iil (Ki^. III). 'I*l)i- ni<-tullii- 
fpinidf ttithrlfr I* ohorlr-r uihI Iium ii iniK-h Minallrr •tirsi- 
limn lh<' in»inin)rnt imil for i\\f maXt- iirothm. 



U9I or OATBKTBRS AND BOUatlCS. 



22$ 



FfrxiUf (hibder*. — Thi" niiwt utinnionlv iiiipd variety nf 
li'xibli- <ntlit-t<-r U iIihi kiii>«ii it-' lin- Kii^lUli tiiilicti'r, 
rluoli is iiuide of linni nud !>ltflliiL-, anil i^ iimviilitl with 



rw. i«L 



r 



no. III. 



Ualmlllf mOtBtui 



irMlMlar. 



R ntylH : h («i) Ik' iiiiiiiltlol into iiiiy ii\\»yc <Wiml )>y <li|»- 
[t)ii){ it iiilii hot wiiti-r. »'liii-li n-ii(]crs it wrv fli'xDilr, mill, 
klU'r iiixiiUliiiK ■> to tli<- |irr>|MT riirvi-, tlits <«ii )»■ lixiO l»y 
Jiiinrn>iiiti; il !ii <-»UI wiikt, wliit-ti linnlriin it ii|taiii. 
Till- Kn•lM^t flt'xibh'cnilwtor* iin- iiwik- nC I mliu-niMtn-, 




226 



MINOR 8UR0IRY. 



or n t-iMiiliiiMlMiii iif lh!n Ruitcriiil willi ittlii-r MilmtuiKini. 
Tlu-M- iiiT^triiiiKiilx an <>>iiiiitl loMnnl tlii-ir rxtrcii)ili4i>, iitid 
tcmiiiiiilc in iiii olivt-Hluijuil |>uiiit ; llwy an- |inA~i<ifcl 



rM.iA 



mAU. 



witli iHM- or twri iniiHiiliU liniilKHl i-yiw n«ir UmHp vc 
t-Kln-iiiilii-H f Kin- H'^.) 

AnoltxT lorin "I' lli-xidlc mllii-tor, kiiowii ok itir fllMiw- 



FM. III. 



lloKlor'* ctboBod mUiSM. 



I'llxtM' iHiir lln %i<nKiil exitvmity ; thh* U nAcn found » i«ulii«- 
fiu-lorv iiiotriiitii'iil in iih- in iii!m«< uri-iilurptl )»n>H(iiti'. A 



fHklU. 




BattraM 



vnriKv nf fl4-xtl>li- nidM'ti-r luiuh' of Mifl liMlin-rulilirr I* 
Him twriif'tlmm i^ii|tl<iviiL (Kitr, 1-14.) 



INTRODUCTION Of A VATHXTtK. 



227 



(.'«i1m>1i'I> nn<l iHHif^ics iirt' tiiiidr lui^nliii^c to a t<ert«iti 
wutf. Tliv Kiiylii*li miilr niiin rntiii I to 12; the Ainerii-ati 
rntiii 1 ti> 'JXl; ami tti<- Fn>iifl) rnmi I lo :M. 

Itl>i:ill»i AMI M^H'MWi. 

B-nufifit niv flexible iniiitninK'iilK uhii-li (iirn^|NiiHl irt 
MM- iiihI Hlui|ie tu iIk' KhkIixIi iinil t'niti-li (Hthi-u-ns, »nd 
IkwhIu) tlieec- ii; (lie aR>rii-]ioint«l liuii^tc (K!g. l'l-))utitl 
t1)c l)lif(>rni ImhijHc, wliit'li w, iiuulc of wiiiik-lHttic or of t)M< 



MUUK niutmul i\» llu' onlhiarv Fivndi lN»ii^i4> nml iiiilirliT. 
TIh-w iiijttniituiitH an- "f very fntiiall .-iw iiml f-iui oAmi Ih* 
lutf^tl tlin><i;;li ^Irii-tiires wliidi will iiilmit no nllic-r litrin 
uC ii)hlniiiH'lit. (Fig. 14«.) 

.S^mikIk — TliuHc urc ifiiliti iiutriimiiilri ii-tiially tiuulc nf 
vXw\ with a fimonth HiiHii>-c und platit) uirli iiK-ki'I ; \\ivy 
(iirns|Ktii(l in Axv :iml havcllu' ruiiu' i-iirvc an the iiiHtillic 
■iitlii'li-r ; iIk- liiiiiilh' U HulloiHi) to itlloH lih- niHTtit'ir U* 
cr;in|i (Iti'iii (irmly ; llivy arc ('n)|il(>y<tl in l)ii- ImitiiH nt nf 
>'tr!'-<iinv l)v ililiitulioii. (Fit:' 1 47-) Ttic »>iiiiil >i-iit in 
ililiilin)! 8tri<-(iin-» of tlu- nKntiin ih streiiflil iitiil it> >h"rtrr 
llmii lite Mtiiiid ciniiloynl in (lie tn-nlnit'iil of nn-tliral 
sirirtiiPcK. (KiK. WX.') 



lNT»nl>mTtON *>V A CATIlBTItH. 

Till' (Kiiifiafr of n «<nthotcr i* a minor rtiirt^iiil iiriMtiluri' 
wliii-li rviTV |irai-tiiioii(T in iil limi-" i'JiIImI iifHin to <'tn|il(>r, 
uixl itr- iin.-wiip- ttirnii^li n liiiiltliv nn*llini \-i a tnaltor of 
litth' ilillii-iilly. Fur tin- iiilnxhK'tion <>( a <'utlir(i'r IIm* 
|i(it)t>nl ninv Ih- in ()■<■ Hinmliii^, niitiii];, or nfiniili>-iit 
|BHliin', unit (lie IhIIit ih iIk- Ih->i in mint ■«««; lti> hIioiiU) 



388 



■IHOB gOROBBV. 



n^ M)iuin-1y on liw Ihm'Ic nml liiivc llio tliigho n lilllc 
flcxiil •tml M-jKti-nltil. 

[ttriin- |Ku«-iiii; II itx'ttillu- i?illti-t<>r ihc H)irp?uii hIhuiIiI 
Mtf thfti it in iK-rf'tilv i-litiii.Miiil NHcr wiintiiii)! »n<l oiliii); 



rw. itL 



rMi. in 



nu.iw. 



( / 



10-14 



niitom lowiH 



Mnl ■■■■4. 



•mmI Oir dlkMm mmm. 



il lie NtamU ti|iaiii thf Ii-I1 Mtli- uf tiM' |MitHiit uiiil i!nM)M 
llif \K-nii' wiili Itic IcO IiiiikI. nuci luniH it >ivtT tlir ]>til)ih 
iiinl i lit no) III TV tlif U-nk 111' iIh- ititJii-li-r iiilii till* iiKtntiki, 
iiikI ui-iitk |i(i>Mi> it iiloiit; (Iif iirfliini iliilil lU jKiiiil |«sh>-» 



1NTRO0CCT1ON OF A CATHBTER. 



S29 



IwiKtith tilt* Mvni)ihy»ii^ iuiIiik; nl iUin point tht^' ImiHllo is 
I'lvviittit and p'ntly tIcpntviHl iH-twt-cn thr llii);(iii. himI thi' 
Ixiik will |Biiw into llic Miidilcr. {V't^. 1-19.) 



flu, lU 




IMMucUiM nf MtkcUr. <V(NLU<IIH.l 

\Vln-n till' |iri"tiitic n-^'i'iii i- niM-lnt) ilillii-iiltv i> T«inu>- 
linii* rx|MTH'n>-nl in ikihmhk iIm- iiitli<-(('r; itils iiuiy U- 
<iV4-rr(>ll)i* )>>' iiitrcHltiriiii! the Rnp-r iiitn llii' niHuin niiil 
liriiiiltnif till- tiitUincr lniMii>:ii tnin, or if tin- jipwtntf i* 
toiiltil niiH-h tnliirviil the mlhi-lor hIhhiIiI Ih' willxlniwn, 
tuul II |ini»talii- (tilWb'r (Kii;. 141) should lie MilinliliitctI 
for it. 

Tliv Hunu- ninn! [mint ion ii miuK- IM- of in (uLt-iiti^ 
iiH<4iillir wiimiU. 

II 



230 



KiNOB SUROKRY. 



Klirxildf iiillK-tvrs find lHHij;icK un- |>»m«hI Uy Knutpiiif; 
llif jH-iii" ntiil liiildiii); it ttt •iiK-li u iKwilinii lliiit it in ill it 
ri);l)t iin;;k' l>i tltc lixi^ >il' the IhnIv. niiil rlic i^tlicU-r or 
iKHteiv !■ ]iiMac<l iiit'i itie UK-iitiin hikI ntrricd tlir<»i^)i IIh- 
iiD'tlini into \hv liliulitrr by t^-i>tly piiitJiiiit; tliv iiiotninifiit 
iliiu'iiwiinl. 

Ill till" Vllrtl^y iirnillii*trr, wliicli \»v rut i-iirvr. tin- wir- 
I^Mtii liiiM 1)11 iii(-:iii!> III' ;;iii(liii): tlir jHiiiil of (Im- iiir<triiiii<-nt, 
itiiil if nil iilwlnii'tiiin in met hi' Hiioiilil nitl)<)mw I tie iii«trii- 
iiK-iK Hli^lillyniiil in»kfiiiit>l]KTUtlfiii|>l ;iill iiiiiitijiiiliili'>]it( 
mIhuiIiI Ih' vxtn.<i»i'ly p-iitlr. 

Tin- xatiw iiuini(>iilBlHiti>t iiiy ittipUiyiil in )ni.-«<infr 
Ixiiigiiv thi-iiiigli ill)' nnltini. 

I'awino TiiK Kkmalp. CATiurrKit. 

This 8hoiiM l(o iiitrrMliHr<l willioiil r,x)MWiiro of tln' 
{lalii-lil, ahf Mnjt in Ih-cI uilli the llii)!;tH nlijititly tlfxiil 
iiiul -Miiginitii) from etwh ttxhir. The Miit^tm inlrtHiiui'N 

rM. iiw. 




U«Uial<4 boUliMKWMlentkcCcr 



llif r<in-rui)i>-r •>!' tlic li-l) hunl Im-Iwitii \i»- iiyiii|tlin-, Itririfr. 
iiijf it from iH'liiiit) lunvnnl iiiilil In- tuiK-lii-H tlu- niHM-c 
Id-Iwivii iIk' iritniiiii' of Uii' vimiim hikI iIk- itrilici- nl iIk- 
iintltni : lilt' nitlicUr in (lien intnMliiitil »ilt) llic rii.'lit 
litiiii) lit'ld iL- slioMii ill l-'i)E. Kri), nml piii|*<(l liy ilir W-H 
liircfliipT in jnuwd lliniiijtii ll«* iiriliiv uf tW uri'lhni into 
lltr lilmliW. 




rw. ifii. 



TVIXQ UAL£ OATHKTBR IN HLADDBR. 



T%'iN'; Male CATtiKTKR ix the Bu\l>itKit. 

Wlifii it is <l(^viml>k- (<> n>tiiiii » PiitliciFr for wimi- linw 
in till- malf l)l:»lil<'r. it i» iHixwisirv to H^-urc il to |in'V«-iit 
ilM Hliji))!!!^ mil. KilhiT » iiK-t(il1i<- nr f1o.\ittlc oatlxHcr 
iiuiy U- <-iii|il<ivi<<), liiit, ;iH u rule, llif Hi-xiMi- iiLHtriiuii-Dt in 
kt be pn'ri-rnnl ; tlirn- iirc M'vvnil iupiIiimIs of Mviiriiiff it 
in iho liliutiliT. 

Ity oiii' inviItiKl two immiw Mriw uf tA|M<, or two or 
tlint- lilnin^f r<tlk lipilnii-s an- Rllscbi'd to tlM" rinp* al tin- 
t-m) of 11 iii<'tiilli<- iTillii'tiT. or (IPC M.vnn-l_v Jastfin-cl an)tin<l 
tW rtHl of itic tl<-xi))li- itistruini-iK ; iIk-hi- urr m-xt bnitiglit 
UickHnnt, our on I'lu-tt stilt' of titc jN-iiiii. ami thi' r^kin \h 
<lniwn fon^-nn) iiixl ii Mnipof luDiottvi- plaster lialf an inch 
in wiHlli it< \tL-vvt] o\Tr tlw 
itlrinir* *>r ini"'--- niiil («rrii<(l 
thn-4- or four linu^ aroiiinl tli4> 
IkmIv of th*' |H-nis jnp.r iMliind 
ttx' iMioitioii 111' the ifliitm IM'IUH. 
If tlio fkln hiw Ixt-n Immjrlit 
wtII forniirtl iM-fon- tin- Klmjw 
hnvi- Im-ii a|ii)li<i). (lie 1i^ittitx-.-> 
trn- ticliltniil iL-> it F>li|i.-< kick, 
niMl till' iiitiii'li-r hail tiot liHi 

miu-li |>liiv {i"v- '''*')• 

Anotlict' ttifthiHl ntniiiiMK in fimtcnint; a »tn>i>^ nilli 
ligiitiirc nmnit(l<hri-atli<-(<T jiitil in uilvinxvof tht'imiitiia; 
i)h- two fiitl.-. an- m-xl hnnijclit luu-kwuni ami liitl in a kmit 
iH-liinil ihf I'otiitia iclo'"''" > '')*' *''■«l^ art' then i'arri<^l 
aroiiiiil U'liind (hi- iiin>iiii miit t'mi on unt- nltlc of the- 
fnt-niini ; tlM* fonukiii Is Hli|i|M<il fnrwunl ami co«*cra the 
ligalurft). 

A mlhi'tt-r may nWi Ih' Kotiiml in tlH> Ithuldcr by tying 
tlM- ttiil» of tlic ^ilk li;tHtnivs, wliii'h arc altwhwl to tin- 
inrttniiiK-iil in aitviiiwc of ll»- nimtii-s lo i«fin of jidIhi- hnir. 

A )iini|>li-r iih-IIuhI of Mviiriii)f tluMiitlit'Icr i-^ to |>('rfonitu 
ilw fni' mil u'iili u iit^iillc anmil tvilh u tlonlilr li)>utiin- of 
ailk or hi-m)>; tin- nei'dlp Wint; rcniovwi, t«o looiw arc 
tiuitli- »r iIh* |tn)|MT liii^h, ami iIk-m- an- iXDUMtl thniti|Hl 




Tftiia In 



<liB**m.) 



232 



MINOR Bl'RQICItT. 



thff vwU III' u T-lniuili^', wliicli in M^ciir<><I nnniml llio 
wiitH), ihc Inil.H iM'ini: l>ntiii;hl ii|) nil i-itlitT ^iili- ol' iJti- 
w-niliiiii mill rMi-iintj to llir IhhIv nj' tlic liiiii<Iup- iMissiiig 
:ii-<>iii)il llir utii.-l. 

Ill tli<- fi'iiiiilc bliMMcr, vtIk-ii it t!* ilivirnlilo (•> l«i-ji ilir 
liladilcr rjiijtry, the wir-n-tiiiiiiiiu; mtlH-tcr U iiHiittlly cni- 

|>loVi<ll, wllicli oilL-iUlK III' II <1ltIli>t<T nitlt II lilllli nl ill* 

v<^Hl<1l1 fxlri'tuity, or iiii iiiiliiinrv iiiilit-li-r ^t'illl Milk liM>|in 
Hiul a T-lniiKliigi- iiiav In- i-iii|il(>yi^i in tho muik- miiiiiitT nt* 
ill iicouriiii' H iiuili' iiitli«'ti'r 



ThK KNIM)H(^tl'K. 



TliiM inMninifiit w t-iii^tlm'ud lii ('x|iliin- tlit- iiilt-riui) 
mviliiv III' tli<- InkIv. W))f» iiM'<l l<» nlitniii » vWw of (Ih* 




WASKINO OOT THE IILADDBR. 



333 



uMlim, it (viir'iiitfi of n stmielit couimi luvdillic tiilN< for 
the iiivllirH, iiikI for tlic blaiulcr odi- wliieli in wiiK-ulint. 
mnTt] tiki- a vcwitnl w>iiim1 ; then- in ul^i im i-vouuhh^', hii 
illiimiiiatiri); iipncinitiisniKl »n umiii^-nH-nt nl itiirrure l>y 
whii'li II f^tniti); li^ht •'iiti W- lliffUii ii|N>n wltiiU-viT toUrlit-O 
lli<- vnd of tln' liilM'(Fijr. 1-VJ). liv till- iiM'ot'lliU iiiiflni- 
nit'iil the iin-ilini imtl iiiiipr Miirliu'n of itiv bliitlilor iwt hv 
fXiiiiiiiifd in" ihi- vyv. 

A vipw nl' tlic iircllini iiiuv aleo Ih; iit>luini-<l liy i1k- u«o 
of the w^hrtttcope, wliirli caiiMHts of a Miniifilit iiitliil ttilit- 
[iixivkIiiI wirli a ntumltil nhtnnitor of Imnl rtililM-r H'lti<-h 
jinijivls uniicnliiit ln-vtiiiil (lii- cml nf tin- Itilx-. The in- 
tclniiiK'iil U iiilnHliKyil iDio till- imlliRi iiiilil tW hliulilor 
is niu-liiil. w)k-ii it i* kUi^IiiIv m itli<lr:iH n nitil llic oKtunitor 
i« n-miivitl hikI a utroiig l)|;lil ir^ tlimwii into tlu- tube fmui 
a hvud iiiirn*r nr from iiii clfctritT lamji, uiid tw itiv ItitM- u 
with<lrawn vurioti<4 |utrti(»iiH of the iirvtbni »tv cxiKiMtl ti) 
th<' view of the «ircw>ii. 

A tnixlilitstiim ot thin iiir^riinx'iil, known m< the ryjrf"- 
■M})f, iii al.-io cmphiyrd (o obluin a vii-w of the iwily of 
tht blatldvr. 

WAKiitMi nrx TiiK B1.ADUEII. 

Tliip imH-nlun- iiuiy Iw ntiiiiret) in Ihf inntiii<-nt of 
rvRlitiH, iiihI it it* miiiitiiiltHhi^l by |nMiiii^' » Hcxihle 
ratlK-lT nith H Iniyi- rw Into the blwlder, ur a double 



PM.U1. 




RuifaOT U« Willi iMfowk, Iw mmhlna viit Ite UuMtr. 



oilltHiT innv Ih- I'liiiilovtil. A syrin)f<-, itr bi'lli-r a niblHT 
liillb hohliitj; nlHUit a |tint. having n noK/.lf ami nhi|MiH*k 
(Fi)!. I 'V't), io lilbtl M'ilb Miirin urIit, or with iiiiv iniili- 
ntiiil Niliilion nliid) i* di^ifiil, jum) it in thru attiK'boil U) 
th<- fni' i-ix) of th>* mth^'ttT nm] ibi- itmliiiln iin' ^I'titly 




MIKOR iUR<1KRV. 



!ii}<i-t(<(l itilM llio bladder; f»Tv ulirmhl L- tal«'ii llial llii* 
Itliuldcr in n<kt (on mtu-h diitteiidMl. \\'h<'n (Ih- desin-d 
iimotiiil iif HiikI ))»« liopu tiljft'It^, it itmllnwifl tn run nut 
111' tlic (atliHer, iiiid tho iirfKMlure may tw r('|>nil<'d iililil 
tlu" M>liilioi) <M.nMr-awav jn'rl'wllv i-lear. 

Ctttv Mliiiiild Ih' tnkcn !•> ^^v tliiit tlii' ))l:i<liU'r is i>rrfn'(lv 
i-iiiplit-d lit' llie Tuiliilioti, hikI hi itikc^ of j>araivK)s iil' Uh' 
liliuMiT f:vntl« im-HMiri' »ih<>iild Im' niiitic U|ii)n the alxloiiii'ii 
iivt-r t)i«.' jnibiH to un^oDiplliili iWm iibjtit. .SilntinriH of 
iHirif arid, iH'rnmnuaiiiitf of potjueiiim, aiid wvak MtliiiiohH 
of (iiHmiIu- Hi-id iiiKi of nilnitc atVilvtT urt'otlpti cmplove^l 
iu niLt^liin); out ilit' liladdi-r in cufic* of dimiiic rvntitih. 



riu.iNL 



hi tlw tn^timiil of nretiiral inflaitimiitiono the injtiHtiin 
of mciliciili<d Ftnliilimia ta gi-iwm\]v nindf um- of, ami am 
tliiM' injtiHiotin an- tiHiiiliv tnndi- )>y t)u' (inliiiil liiiiiiM*ir, 
Uf iiliiiiild Ik- kIiowh or iiiNlnii-ti'il liow to rm- 
(iliiy rlii-in. A niltlH-r »yHn];i- Inivtii); u ooniiqd 
no//.li- and lioliltiif* aUmt two or l)in'<- dnicliiiiit 
to llu* lM<!tt iiiMnmimt In ftii[>loy lor llitx jinr- 

!<»M-. (Kij^. I&l ) 'Utr M-rinp- liuvin|r Ixo'tl 
illn) H'lltt tin- Holiiiion, and tlic ginlii-iil Mtltin^ 
ii|Hin rill- i^Ik>' of ii linni rliair, u itii ilic iIh^cIh 
■«-|mrnliil, ktil-jh- (In- MvrinKf Ih-1wivii llii- tliundi 
an<l iiii<Mti- tiiip-r of tin- ri)cl>l liand, tin- tip of 
(l)r iiiilfx lintfiT rt^liii;; iiihiii ttir t-iid of tlic 
)>i!-|iin, and instrlfi ite <ii<iii'-.il md from a nnartcr 
(•• lialfiin inoli uirliiii tlii' iiiiiitiiH, w)it<-li m hi-ld 
•i|H'ii liv iIk' iIiuiiiIi ai>il Knircr of ilx- IcH hand,] 
and aOf-r iIf^ inlrodiK'tioii il HlKnihl tit- dniwii 
li^llillv around it, tin- pri-rwin' U'luj; made 
na4*vf lahTulU n> it^ to narrow itic ii|H'riiin' inMimit 
""S'jf "'' liriwl«-iiinii il. uh i" llw «w wlini tin- nnii- 
tfrtnf*. prpHfiHui iH m an siil>-n»-|ii)stfrior (lirti-tuHi. 
\tU-r thv Hnitl Imf Im-ti tlin>«ii into the urtHlim 
in tliin niiiiiiH'r (Ik* k\ niii;i' in ri'inovi-d, and tin- |iatii*n1 in 
iiiMlriii-li^t In hold (III- li|i« of lh>' nllfltu^ top-lhi-r lor »nc 
t>r two ntinulif li> jm'Vt'Ul tin- iwiiih' of tin- lliiid. 




BUTURKS. 



235 



Sutnrea. 

A viirictvof nmlcrialu ui\'*'iii|iti>yiil (or witim*, wm-Ii «?• 
silk, i-ulgiil, I'ilvcr nr 'tT>m viirv, !iilk\v>inii-^til. niid lior>i-- 
hair; llu- muUTinl itiiwt rntiiR-tilly vinplovt'^l iit tin- pntvnt 
timv U «-illi4T uit^iit. Milk, or ifilkwonn-^iil, nltlimi};1i M>mt: 
mirp^iiRH »ti]\ prvfir nilvtr wire. Cittpit h pnwtif'ullv the 
iiiilv •tiiliftiiiX'L- fin|iIoyc<l as n witiirc wliirli is nliwirluiMc ; 
llic i'IIkt varirlii-j' i>f iiiitiin- ni|iiirt- miwviil ittW tlirir 
a|i|>li(nliiiii, iillhoii);)i ia>tw Kiitiinw, rHicli at lite filk, wIkd 
(■iii|ili)yiil in MiU'iibiiKiiiiK wmiitfU may Ih- cuI ttlinrl. tu 
tlH'v an.- uj>t bi ImX'oiiu' viu^'Mtcd iui<l uiymIih-c imi Imiiblv, 
It iimtU'ra little what varioCy of mnlcTiul \w t-mjiloyc^l fnr 
rtiiliirt' ir tlif miiyviiii ii> <«i\-r(il to sw that it i^ n-mU-n^l 
tlii>n»ii;l)lv itm'jiti*' iH'foiv bviii]; brought ip cuiitm-t H'itli 
th<r wtniiid. 

StUurra of Rftaxation urc (how mIiu-Ii nrr onlt-rcc] iin<l 
l>roii);tit iitit ut siitni' <li#tUD<v from the nlgti; of the- wnuiul, 
aad )iTv ciiiployci] tu pivwnt tlnnpMX>iif' tmf^ion u\ton tlw 
cntiirt* whit-li oKhw skin wonndf. Tlib form of untiin? if 
fill |>I<>y I'll by ihp tuie of th<' oiiilktl, Ixilton, or plntc <(itiirr. 

Sitlurft of CbaylaiioH. — These nrc ):ii|>(Tlii-inl f^iitiin-ri 
u|i)>li<tl ('hiM-ly (o|^'(hfr luid im-lmlv only the i^kin ; tlivy 
nn- t'iii|i)oY<.<<l Ui Mttuviut-tiruleBiiiKusitioiiof tlHTiiljim-oiM 
MirGuv III' u'onndi. 

Sttttiim u/ Approxtnuilion ttrv thiuL- which urv np|ili<i1 
(hfply into (Jte ti«*nv« to wvtm* ii|)]imxiiiuiltoi) of the <li>'|i 
|MirliorH of )i uoiiiiil : ihi^ ohji-cl in }U\itni\A\s\ns\ t>y the 
U«' of the ^iiilk-<l. Ixillon. »r jilale f'OturL'. 

8<eOHitur}i Hutartt. — Tlitw ffiitiirfs sin- n|i|i)ied wImii Uti? 
Mirfiivw of tilt- wDiintl iirv <<ovcri-d by i;nmtilaliun», when 
tlie priinnry I'ltliin-)' have fnihtl In H-nin- upiMViilioi) of the 
ci1fr<-7> of lite wound, or in <«m-j» of N'*'iin<lnry hcninrrhni?- 

where ll jitninp: nf the wound hii^ Imtu ni-f-oiil.'ileil In 

turn oiii ilir hhHHiH'hit imd peitirv the hloollti;; vi-«i-l. or 
in jilii^lic oivnilionn when- the primary siilnreu h.ive fiiihtl 
to •Htiirc iu)l>eoion» nf llie ei];^i> of the tIniiK They Hn< 
almi employtil will* ndviintiip- in itvu-» in whieh it ix nn'VH- 




336 



MIKOB SUROBRT. 



Mirv t<i |iiu'k II m'iiiiikI tvilli nittiM-|iiic p<iix<-. or (<• iilltiw 
liifiHuKtiitir loni-jif to n-iiiitiii ('liiiiijK'fl ii|i<>i) likiiliii); Iiimm-k 
ill II wiiiiikI III llio tintr nf iiiN'nilinti. TIh' niilun-e rdiMild 
in HiM-li n iiiM- In- ininxliKxtl miil ItHwcIv lii'<) ni iliiit tiiiM-, 
.-iliil whi'ii tin- iNtrkiil^ i>r fi-n-i'ii- im- i>'iin>ve»I ill tlti- i-iul 
iif twii iir ttmi' (liiv!» thf ■iiluo-* mv lif^liti-iKil m mn tii 
swiirt- ii|>{HM>tl!<>ii of tlw <ilg(> tif" iJn- woiiikI. 

SrimirAi, Np.Ki'i.n». 

NvtilliTi tor Hiireinil iiM-Hn-of iliHt-rciit Kixtfi iiiiil h1ui|iu« 
iKiK. \V>}', Antfflu iRtdkti im- tlic fMiFK laoKt fonimuiily 

Km. IIA. 




fluq;lail ucMta. 

ctilplxviil, liitt ciirvifl iiivtlli-K will U- r<>iiitil tiMi^t tiili- 
v<-iiii-iil liirllH- iiilnHliifiioii urmiiiinTiiii KoiiniliMtrciTUiiii 



rMkiw. 




UmiDMil otadl*. 



IxoilJfHtH. TiilxilNr wiilif" Hff iillrii •■iii|i[ii,v4-<l ill iiito>- 
iliir-iiiK niiliiro in wimnilx In wlii*-ti Uic ti'^i- of md ordinary 



SEOCRING SUTUBBS AND LIOATURKS. 237 

iHt'dk is (liflinilt : for insluiKX)', in Ihc oponitioD fiw t*l<-ft 
jmlalf, utui for iIk' introiliM'tion of stitures in tW-\t wtmuJla, 
n DioiiDtc^l neccllp ivill ufteii be IoiiimI very u»'fiil (Vig. 
1-'H(^ N(<«nfw Hlioiihl Im' (ihnrp an<) vU-jtn nnd iJintiKI )m> 
rcmler*"! tlmroinililv iwtptio Wt'orp tx'inj: iifii-<!. A iH-<^lle- 
ItiiMiT is ufUii rti|iiintl for tlic i»lUtai-t<iry intnHliK-{iou 
i»f nvwlk* in woiiikIh of mrtaiu Iocmliti«»{l''ig, 157); if 

rin. IK. 




l)««4IMK>ld(« 

(liiM \b not lit IiuimI tito uwtllc iiuiy Ik- \wh\ liy u pair of 
iln««iii|^ Ionium or » \mr nl' liiriuiwtatic t'>n«{Ni^ 

Mrriuiii OK SntiiiiNd HiTtritut A.\r> LiiJATriiix 

Mi'tnllii' Mlltin-> nn- iHiiallv M-^-nnil \\y tWHiiiii; tlit- 
niiln tiif^-ltit'r iir 1>y iiM.s:*in]!; tltc cikU llin>ii);li ti iHTfnrtit'il 
^KX ami i'liin)|iiti|; tm- niiui with n !tlto(-<i»ni]iin<M>r, whicli 
Mitin-ly fixtw iIk'Ih. 

Sittiin^ iitul li);iitiin>s of ail(Eiil, xilk, Hilkwonii-gut i»r 
liorN-liiiir nri' .'MTiint) t>y tyiii|f, iukI .-^'Vt'ral diffcn'tit km»lf> 
ar«' t'tii[>lc]yi.il to Mi-iin- rlii-iii. 



Ruf or Flat Knot. 
rii). i» 




RMforCatKbui 
II* 




aas 



HINOB SUKOKHT. 



'riiifl is om- (if lti4' \tn<l fornLt of kiiol to tUM> in wwiirin|{ 
Miilunt* or lit^iltin«, iiritl it !.■> rntntc l>_v jKU-viiiK om- end of 
till' ttinn'l >'VT ni)(l an)iiiHl tli<- otIuT <-nil, iiitd ihe knot 
lints titniHHl is ti^islitiriixl ; the <inl.-* of tlio llinwl arc ncxi 
mrrid) lomirrl cticit other hih) the sniiit' I'lid i§ iitrain cnr- 
rictl over and nmund iW (rflit-r, nml wlicu ilio liM>pi§dni«ii 
tight w« have Tonne*! Ilir rvi-f or flat knot ^Fig. 15ft). 

A'h';5Mwi'« fCnol. 

Thi.H knot ii (iiriiuil Ity mrrvin^ one cikI oI' (lie ihniirl 
twin- unKitwl xhv other i-iid (Fi^;. i^^); imd nOvr tightvii- 




sunpBtui'* kMit. 



in^ thin li->|> ilic Minii* rn<I it> iitrricd ov<t ntid iinniitd Itir 
otlicr viit) iLH ill thi- (SIM- of till- liiiiil knot of tlir n-* I' or tUi 



rxi ini 




BWCaur* kuul WNl nrf klivl aNaUirail. 



knot. TItf Mirp-oiiN kitoi nnd nt-f krM'i iimiltini*! if ont> 
ot' tin" l"-rt lln^lll■^• oT wTiiriiin -iiliin-w or lipilnn-d of 
ml|£Ut or nilk, ip> th<- lirxt kiiol in itoi iijii (m ri'hix lirfiirv 
tlH' MTond knot 'f a])|>litU. (Fi|{. I(K).) 



BKCURINa SDTtlRKft AND LIOATURBS. 280 



Gr€mnff Knot. 

This iiu-iIxhI 4if tying iIk- li^^tiin- or Miiiin- Mlimihl itut 
bi' fniptitml, UM iIh* rauitlinK km>t i>i not an mt-nn- an tlin 
r>vf knot uni) in n|»t to relax ; il tliHi-rw f'r<>m tin- lalti-r in 
tJtL- fiic-t that Diif (.-lid uf tin- tlin-iu) liavitig Imi-ii I'un-icd 

fiol vn. 




dnult; tnul. 



ni-nxQ' himI iinttiml (In- oitii-r i-nd, t)ii' kiwit if (■•iin|ilt'li'<l l>v 
nirrvinp tin- "niiii- iml iiihW iiikI nronittl Itn- otJicr vnd uf 
tin- tlinixl (Kiv'. |fil). 

'Dm- t<ltifi'anliJiirr knol, vrhu-)i \k uiucb liM'tl tit Hotin* ihv 
pitlirli- ill iIh' rrnioviil »f (lie oviirim ih* nvnriiiii liintuns bi 



Fin. va. 



QQ 

ntOHri^tf* knot. 



niijilii'*! Uf (lilliiwh: A lian'Mrtl-nniUi- ormMl witli n stnuf 
"ilk li^lnri' i" imu>«>iI tlir>>iit;'> lln- |ni|irlc, anil ili<-n Miiti- 
ilnvru Ml as to ItiiVf :i liHip on tin- ili^lii) niih'; (Iiik Iihiji In 
ilrawn oviT Dm- oviiry or (iinior niid one of ttn' fnt- iit(Li in 
IHUMil lliniiitcd il mt that om- cinl w iilxivi- while the nlliur 
riid !•> U'Ikm ihi- ri'lniviol l>-i|>. (l-'t^. Hi'i.) The «1)iIm 
iin* lh<*n Hfi/i-il ami dntun thn>n);h tin- |>>-(li<-li' ; ul iht- 



240 



MIKOR BUBQKRV. 




r^iiiii' ritiii' tlic tliitiiili iiikI r<>n-tin);cr niv |)ii-Ntiil npiinri it, 
until Milliiiriil ivitflniiioii t* iiiinii', iiik)* Uh- Hxlf nt>- 
liiuillv Kit-(ir(il l>y Iviiif; hk in tin- nttniriii^ ut' uii ordiiiiirv 
li^pttiirv. 



Vaiu^irh of 8irTU«K. 
Thf Inbrruptnt ftuturr. 

TliiJi variotv of sutiin- in tiw niw imwt il.-iiiallv iiiiiil<iy(il 
ill (Ik- tiitiMiHitioii of uoiiihU, itxifiHtiiiE "f a iiiiiiiInt of 
hiiikIi- flitrltiv, owli i>r wliicli ia ititin.'ly indeiH'iKliiil of 
lU>iM> oil cttliiT Mv. In ii]i|ilyin); llii>^ Kiittirc (lie ■•ni^ini 
linlO^ till' itl)^' of I)h- ivoiinil w itii tilt' tiii;>i'rrH or (iinviH 
niid lltni"!" till- iifi-dU-, iin-vi<>ii>'ly (lin-tiilcil, tlin>ii^)i tin- 
fekiii tlinv or lour liiii's Imni tliv iilgL« nl'tlit.- uotitKt. Hv 

nu. MM. 



1 



s 



W 



TlxHiMniiitri mMMr. 

thi-ii |ui>M'w ill*' Diiillr l'ri>ni ivirliiii tmtwiinl (liroiii:)i ili« 
tt-wiii-K of liif o|i|>ivii(t- tlii|i at till- Miiif <1i>>Jniifv I'n'iii lliUI 
ii)|^> of till- w<Kiii<l. (Ki)!. Ilt't.) E-jii-li "tili-h iF> ni-uri'vl 
IV ■aaiii Ok it in |aiKM«l — liy tyiuf if it nilk, ml|;iil or *ilk- 
wonu-Kiil Miliiiv 1h' iiiir<l, or l>y twif^iii)* if ii Mlvrr-uin' 
•iilun- u i'iiiiiloy«il. A Hiiliin- iiinv Im- iimiI mjiIi ii iit^ilti' 
tliniiiliil Mil I'iii'li rtn\. nml in tliif< itiM' Litli iitiilli-- nri' 
(Miwil from uiiliiii oiilwHnl. Tli<- Mitim-^ iiiity !■■ xTiintl 




VARIKTIES or BDTURK. 



'JAl 



i(H HHti) ib> ii|i|>liiil or tlit-y ninv Im- Iff) iiiiMi-iinnI ntitil n 
NufK<'i<'iii iiiitnlx'r hitv>' Ihi'ii iiitriKliii-itl nitil llictt llicv iiiiiv 
Im- ri^itmtl liv Iviti;; fir Iwiritiil)^. (.'ari' »li<>iil<l Ix' tiiki-n to 
iM'i- lltiit (lii'V iimkt' ■)■■ leiiHtoii on the I'clp-M of lln- woiiikI 
mill lliiir ilii'V iin* Mt iiitiixliii'n) iw to iimki' tlic Uvt ihm^i- 
lili' it|>[HK<)tiiiii (irilii* |iiirlii. 

Ill I'Xli-iiMVi' iitid ilii'j) ivdiirwU it llul^' Ik- fii(iii<l iK-(i7t4try 
rii iiilniiliKT- lH>r)i ili-cji tun) Mi)M-Hii-ml Miltin-H, tin- rorrncr 
liniiiiiiii: iiliixit ii|i]iiii>ili<iti of llii- iiiiim-Ii-!* iiihI iIii')) liis>'iji, 
till- Hii|H-rt>nBl InjiT liriitgiiig tii|j;vtlK'r tin; «ii|M'rfictiil llvx-ia 
uml iikiii. 

Tli«- liffp IW Atirrrrf mitimi' nrc <>ft<-n (•mjititywl tn nitili* 
tii-«'iii, iiiiiM-lo or Iciiiloii-, iiixl till- Im-sI niiitrriiil fur lliin 
viirivly ol'fiiltm- ii^ I'ilJirr (vtffiit »r silk. 

Ouiiinufil or Glorrr'n Svtitrr. 

'ItitK v;ini-1y III' ■iiiUin- is :i|)|iliiil in llx- >9iini' timiirii-r ih 
tlu- iiil<Triijit4><l -ftitim', I'lil the uiili-litw un- unt i-tii iijiMrl 



Plb IM. 




CiMWIniml «■ ■lava'* HNUn i uMbud uf ■vauttaw. 



24S 



HIHOR 8DR0RKY. 



I 



iukI liitl ; it is iiHvlf (virli fWk or it»\ii\\,M»\ \>- Miiiitxl hy 
(Iniwiii^ it (liiiiblc tl)n>ii^)i tUv Iru^i oliu-li uixl ii^iii|; tin- 
fnr en*) lo nmkr n knot with (lu- 'Imililc iMirlimi attwlitii 
ti> llir mttlU-. (V'ig. Iti-t.) Tiiw Miluri' » {{fiit'nilly t-tu- 

riKivtil in itit(«tinnl niitiinw. lull iimv iiW hv cmpliiml in 
iriiipi)^ alxiiil n|i])iii>itioii uf t\w 4>Jfrii» u|' u-ouuiU in tiM«ue» 
ul' looM! Htnu'tiin;, 

Th* TWrfi-r/ or Ilare-iip SitiMrr. 

This IH n wry iiM-tiil forni of eiiliirc wlierv t^ixnt ncvu- 
Tw^' ami ltriim(i>t< of iiiiuncitH)!! of tin' eclgre nl' ibt- winind 
uri' tU-Hirvd. It it ii|i|ilit'(] hy tlintHtiiijt |>ins »r ueetlUit 



rM.i«x 



KHi, IWL 





TMMd •( Inwllp BMlm 



lUdiB'fubbcr lUtuiB. 



tJiPMii^li lolti li|K> III' th<- wiKint), thf odjrrt* Ix-iiiff kojtl in 
(■uiiun over llif wtiiiii(l liv ti)pin?-<>f-fi(;iit turiM* with AW 
or wire. (Fig. IB'V) TW wiiUul" tho piiif ii)iiiii!d l>o nit 
ufT i>y |iin-4'iitt4'r> iift«r (lie miltirvs an- a|i|ilinl, ur fllioiild 
\y pnilii-df) h_v |»i<-i->-s i»t" i-ork or piastt-r Ui |>r<-xciit theiu 
frimi itijiiriii^ lli<- Hkiii nf tliv {latiniil niiil iiiiiMiiti hini 

(Mill. 

TIh' tvrirttn] or hin-li]) kiUur- U frc^|»pnlly cinplovi'd 
ill jilibilii' iiiHTKliiiDH iiIhiiiI lilt' litii- uix) ill ollirr imrU iif 
tlu' tnoly, urlicn.* lu-i-iinili' u|i]Ki^ilioo nl'tlic 1Iii|ih is iUwin-d. 

Tht Mia-rtilAi-r Miftiiv. 

TtiU i" njitiKiil liy first |ini«iii); tin- i>iiin nr nivilli-^ 
(liniiicti ili<- olc'^ "I iIh' tliijin, mill innli-inl ••!' lliv iwiHtx) 
ri^iiriiif-^-i^lil ■iiilim-iil'^tlk.di-litiilc riiifp4(fr liidin-riililxT 
UH' ciiii'liiviil. (Kig. IWi.) 



VARIKTIBS or iufuBK. 



Thin viiricty of Kiiliiri' Im ihikU- n illi filk or (iir(!iil, iiml 
18 fin[»loml ill wiiiindi' Ui cfTwl vi-py rlow ii|))in>viiiiiitioii 




2i:i 



Tlw4ull)iuniNL 

of tin- |"iirt« mtil lo [>n-v<'nt Iuiki;!!)^ ; it i- ortni ntiiilov)' 
in iiHiiHviioii witli tl»- <-<>iiiiiiiitil niitim-, iiikI i» ii|>|>lk'() iir> 
Hhowti in i'if. Ill7. 

Thf (/uUM Suturr. 

In liinkinK '<^' of 'I'i'^ sii(nrv n nt.-<.il[i' iinioil miIIi ii 
(limltlf tiin'ii<t oC wiiv or i^ilk in |NifWc<) tlin^i);li tin- tis:<(it'--< 
II.-I in :)i>[ilyinK tin- inUTnipUtl sntnn-, Imt iit ii gn-aliT ilis- 
UlUM- from itii- tilvF!) of llip wound. Into (Ik- Ioojib on one 
Hidi> of till- woiim) U inwrtt'il » 'iiitll or pi^ix- of » ficxibli' 
tntlivliT or Imiiii^c, iin<l ou llif o|i)Mi«il<- Mf tin- Tnr (■n<li> 
vf tin- i^iitnniJ iirtr lied anmml u ^tiniJIiir otijii-t ittW tH-iiii 



24^ 



HINUB ItUHOIRY. 



lii:li><-i«it. iViji, I'iX.) T)itn ronii III' MiliiR- iiuiki-Ktlti'jt 



rm. !«■ 




Tba iioUM *u<iua, (IMith.) 

Ill n|i|)lyiii);llii(>Hiitiireit maybcloiimlwell in iritim'niiwto 
iiiirocliiiviirrw>ii)H'r>i(-iiil iiir>'rni]il4->l fjiil)irt> ulitii)* the lint- 
Iff iIk' Miiiind li* ■iviiro iuiiinito u{i^nixiniation of llic ^Iviii. 
'rhio fnrni til' siitiirp waH t(>niicrly miu'h (iiiitloycd in 
i-UMw <>r i](.i-]i wiiiiikIi' to HM-iirc nctiinitc u|iji>i«iltiiii nf lliv 
ilttii |Hirliiiitii of till- wdiiikI, 1>nl rt^iviilly 
the iiitroliii-liiiii of )>iirk'<l (iil|;iil stiliircn 
tuif> i>ii)>|iI)iii|mI till' iw of tliih viinfty itf 
i>iihiri'. 



riu-M 



If, 



ItutloH Oil- Pfalt tiuttirr. 



Tliix Kirtnn- i)* n]i|>liitl liy tix^tig 
iHi-<ll<- iiniKil Milli n tlfMihli- (linwl tie. in 
tlif i-Hsi' of llw <iiiill"l HiiKin-, tin- i'i«1« 
tif tlic Mitiin- Ihiiiji; )«uiH«t t)initi;t)i liiv 
•'viti <if II litiltiHi iir llimn^ti iNrfunitlonF- in 
II liwl |iliili- U-liin- iH-iiifi thn-iiilttl in itii* 
tfvc of llti- iM<r<ll<-. AOcr Ili4> >4iilnn' |»rt^ 
|i»n-i| in llii> wiiv till/- Imui ikihsiiI lliitmitli 
hiilh M<li« uf ilio ttnimtl, lilt' iiitiili- irt removal iiikI ihi- 
fnv i'ikIh of t)H< siiliin* iinr )i«mn'*) tliroiitch lliv ovvh nf a 



lliitlaa HMNfo. 
(Nimii I 




I 



I 



TARIKTIES OP 9DT0RK. 

Itiiltoii nr the iHTliinitionp in a lend iilate iiit ihv ii)>|HM>iti' 
xidc oC llif wmind, and are ti^itencd ami nwiirt^l. (Fin. 
lliit.) This foi-Di of !iiitiiiv- limy he cni|»l«y«l iii ihfp 
wounds lo MTuDipliHh the nume piiriviHC iw ihv ([Uillra 
ttiitiire. and alloww iIk- c-iilawoiii^ mareiiw of tin- wwiiid 
III ivniaiii fnv from <iinipitf«^ion, and fivrr, an \n iIk' tw 
of tliv i|iiilW sittun-, a few int«miiite(l Hiitiin-M nisy Ih< 
iiilpHliuiil ltt-IwM;ii the hiitlon or iiialc Hiliinv Iti siviin; 
urciirate a|i|M>iition of tlie ekin fiimrcs if diwintl, 

'I\>»!/»t-tt»d-f/t'oor« StUttrf, 

Thir< vari<-ly i»f »iiiiin', di'\'i^ l>y tin- Inlc Dr. Jtwenli 
I'm 1111 «.■>(, iTxiMMn ill ''lippiii^ till- miiivin "f iho Haji wliicb 
him iMt'n Ix'vrlliil iiilo ii yniiivf, 
iiiatli- liydinui-lint; ii]i ttir iiinr- 
Ifin of ilic "kin xniToiindin}; 
ihc mw Wirfitm- wllti'li i- In Im- 
iDVr'n-d. Ill n|i)>lyiu)r 'liii- wi- 
tim- llif win- iir iliix-iid iii^fl 

lllL" II liciilli- :l|i|)Iii<d III) iwll 

fiiil. iiik) aftiT |KV<Mni; tin- »ii- 

tiim> Ml tu til ■CT-niX' till' fl«|M 

till- fnt- fiid.-i an- Mi-im<<l uvi-r ii |mhI of iidhtfivi' [iWtjT or 

u itiis' iif Inul or a liiitt<nt. (Kty. 170.) 

fihatttd A«/iir«. 



Fir. IWl 




Tb)i«ur«nd 'irnon aaun. 



Till-' mitim- nivivw its nmiii- not fnmi iiiiy «[iwiul 
nu-thiMl (if »(i|iliiiition, Iriil miIcIv fnmi iIh- way in whi<-)i it 
in wi-tin-t) ; iiiiy nf (lie invviiitisly ni'-iitioiNi) vuritHifx xf 
Mitiin^ may Uf(.-m|ilovi>il. Tlif iimdriiil iim'<I in n|i|>lvint; 
t)ii''Mitni'>'ni.-iv )n'<iit;.'til.«ilvi'r M'irt'. ■^iIkM<inii-'^tit,«lK,i>r 
lionM'Imir, :in<l :it)>-r lln- "iiliirc lia^ Ih<<-ii )«inm>I iIk- tiitilli- 
iH rrmnvi^l, hikI llir i-ndi' nri' jKi-vril tlin>tii;l) a |K-rt<tratii) 
Hh'it ; till- i-niU iitx' llii-ti dmu n ti|><>ii to l>nn|f llu- itl^v of 
the Modud in t'oiilKi-t. imil lite r'liot in |ir)-<wi'd duvrn lo tlH* 
■kin and •-tHiii|Htl l>y iiiiiiii> of a "UoiHiitnim'wor. TIh* 
Mit^m' i« tlit'ii rill nil' llii-'li uitli tl)f Mirfati' of tlir idiol. 



246 



HIN*OK SritOKKV. 



Tliin iiiciIiimI 111' MfiiriiiK hiIiiiis h «w|Ki-iiilIv iiH-fiil til 
<-]<NiiitK niiiiiiiln tii llii- riiticiKf (?iv!tii^, hwU n^ ilic vnjfinii, 
nvliim, :tn<l moiilti, uht-n- llic knot or Iwixl nl' tli<- win 
luilH't rnuM- irriliiliim nl' On- hiirliwv or jmiii ti> the 
jntient ; il 'u* aim it iiM-ful im-tlxHl of M-nmi))i siittintj in 
jiliLitic o|M'ralioii!i; il »!>«•> taciltlnliT^ the rt<iiioviil ol* llii- 
mitiirps, lis lh«' sIkiI ic not apt (n tic "lwitirt'<l li\ thw 
HMnllcii tb«iii(w and is iilhiIv wixi^l liy ion-ciw wIk-ii 
tii« ltN!|> ii« <)ivi<)(^l. 

Remora/ 0/ SttlurtM. 

When- »<uliirfM arc ImrHHl in thf tisMiHt* or i«v%\ to ji(i- 
|m>!i(iiiuiU> iwrth in i-avitit-w wtiii-h arc HulKMtitu-ntlv HtK*^, 
Mii-li lualonal Hlionltl Ix- mii-cl for Hiitnn^ :ut m ill Ik- iitei«)rbcNl 
in n few clays, or will Imitini- cnoviitofi and remain liamtlaH 
in tlic Uhhiu^h — fliH-h il- <iiI^iiI, hi Ik worm -pi I, or ailk — aiid 
it i* n(w>ctl(w <() stati' timl niitiirfs iimiI with tliiti fiid in 
vi<-H' >liiiiilil Ih- n-tHlcnxl (H-rlai'lly aM-)>li(- iMrfort- liciiig 
4-nii>li>n>d. 

( 'at^nt Mitiin^', nlirii well )in-|Kin<il and nnol for MiinrcH 
ill oxtrriial woiiniLx, iL-«iinlly niKlcrffo aliMirjition iii fnini 
ti-n bi fln4M>n <)iiy^: the Imii iuirtnl in tin- tii«)nc« is 
alMnrlxil mill tin- knot niav w n-iiiovHl fniiu tlie Hiirfarp 
witli (iinviiH (ir i^niH'n off willi Ihi- ilnfwiiijrs. 

Till' "tlivr .iiilHiainx-s, Hiiili a." nilk, Mlkwnnii-jriit, wilvur 
witf, an<] tiorsa-liiiir, art' rt-movwl bv mttin^ oin- kiiIo tif 
th<' loop mid niiikinx tnictinn upnti tW knot uf the mitiiiv 
with r<ir(f|)s, or in the (*io of iht- wirr «iiliin', alW 
diviiliii); lln- I'-'p and Mnii|flil4-iiiii|; nut one <'n4l nf t1, Ihv 
win- hIkiiiM In- willxlrawn in a t-iir%-i-<l dinvfion. 

Silnn-s uliirii iin- not <iiii«<iiit; niiy irriliitioii kIioiiM )h- 
nlliiwcd to n-inain in |M>i'ilioii until the wound Ip^ Holidly 
lii!ft](<il, Tli«- liiiM' iisiiiilly rt-<|nin'<l fiir llnir ivlcniioii in 
autm >if umiit!<' wiHinda ik fnmi i-iiflil lo ivrt-tvi' tlarM. 

Ttrmbfii't Suturt. 

Iji-inlN>rtV Mitun' ii* iiNtI in uoiimU of tin- viwvni 
mxt'n-d hv tin- |H-ritiitM-tnn. u-illi tin* nlijtti of t)riitKiii>; in 




VARIBTIKS or SUTUBlt. 



S47 



rttiiliut (lie iHTitniH'til KiirfniTn. Tilts form of Mitiira in 
iiHiiallv L-iii))f<i_v<it ill I'lofing wmiiikI)' of lliv inu«line or 
HbinmoJi. iV\n. 171.) 

A imtlh' iirtiK'd witli h lint- ititffttt iir xilk llm-uil iH 
jiOfMtl, iiixt ii ix lictlir t(i i-ni|il<>y ii ntiiml m-c*!!)-, Midi ma 
iIm- orcliimrv mm inji-nfiilli', in |iri-rt-n-iii-<- to tin- Imvoiipt- 
]Hiii)((4) iiiiilli-, iM (lii-i'>- i'i>iillM iiv !(«> ii.Hi' U-K)i lilt-til in;; 
I'nini llif [MiiMliiivs. Till- tii'iillf in linil mrrii-d itiruttgli 



rw-m. 




m,m. 




ImmtiMtMUn. •.•troiui h BiucDtHiMidc. aMnraooM. (HiUTii I 

iliv |M-ril<)iimI mihI iniMiitiir iTWts nf the in(i>t!ii)' ii flmrt 
iliftiiiKi' I'nxii till' woiiitil, hihI it is tlit'ii iiirrictl iicnit^ tlic 

WfHIIld .mil |ilL.-9^il lliriill^ll tile HIIIIU- |Xiniiill>i iir till' 

itili'iiliiii- II iJinrl (liMniKv Cntiii liic tti)ty cf <lu' w<i<iii(i ttii 
tliv o|»]Hi>ii«< Midi', niid wlicii the RUlun> ih tiphlciicit tlic- 
npnioiitiil Hiiriiici'M ••I' tli<- iiitivtiiii- an- iiivfrtinl nwl 
tintiiiflit inliMiitiiHi-l ivilli <w(i i.i(mt (Fi^. IT'^); tlw inli-r- 





248 



MINOR SfROXKY. 



niiilRl <ir niiitinuwl eiitnn* may 1h- itD|tluyvt) in uMkin^ 
ihu tiinn iif iMttun-. 

GHy'» Sutvrr. 

In ii|t])lyiiw tills rnriii or suliirv in inlivtinal truumU ii 
lipilim- amtnl willi a diw uw^\f M I'acli tiiil is iin)ilayitl, 



n 
M 




M^ 




iiliil llx- [»iiiii-lirni> ■liitiiM Ih' iiIbiiiI five iiiil1iiiM-1nt< xiinri ;_ 
llir itHilKHl *>( n[»|ilviii)E tilt' Mittm' 10 tliouii ill l'*)|i. 17^ 

RitHiamin'* Sniurr. 

Till- iiit-(li<Nl lit' Miliiriii); iitli-^tiititl mimiikIk, M'liii-ti in 
iiiiifi- ■'<>iii|)li'ii(iHl tliNii <-illi<-r of till- |)rt'V)(iii-^ly i))i-iiti<)ii<<d 
iiwdiiHl" unit ih*wp*4-h iii> tulviiiilucf liver lln-ni, i'> iigi|iliiil 
liv |invint> D ilclinilf niii iii iiihI iiiit iilori): uti-li ■tclrofllin 
woiiixt m ■liowii ill Hft, I7J, IUhI >lnittiii); iIh-iii t<i)pHliPr 
liilt-nill\ I'v li^liin-f' |uii>«4«l tiiroiiuli \iw intrniili', mw 
fiul of ntili liiniliin- lH'iii(i i-in ■ilntrt iiti'l the ■•iImt eiid 
iM-in^ linxiiflit out III till' I'livcr aneU- of llir i'VIitiihI 
h'ikiihI ; n iFiniul i> iil-o littl iiiidi-r lli<- lnvn\ of (wli iiiii. 
«nil limiiiflit oiit III tJir iiji|ifi- nnt(lf of iUv woiim), nml Kt 



VABtKTIKS or 8UTCRK. 



S4» 



the iiid of llirw or fimr da\n the [linn aiv ivnmvwJ bv 
nitiuut <>r lhi> tlinwiN iiiiiti-Uetl to t)u-iii, nml at lh« nantf 
tifuf- tlto ■iiitiin'M, liaviiijf liwn Imxl l>y tlw rpiiio^'nl of iIk» 
liiiif, nn- willtilniui). 

rui. iM, 




-t r 

IkAikvDciV miLUnr, 

CWny 6'tif Hcr. 

This KtititrD iis iimilicti in inl<«tinal wmmlH by imaging 
tlio D(«hIK' ui-iimhI Willi a (-atjfiit or Mk tlin-:ul iliroii^li tlio 
Hi>n>iiH nicmlminr on oim- sidcof iIh- woiinilnf ilir )iiti-!'tiii<> 
and nut at tlif mnim) Htiriatv mi kh not lo ijicUHtc llii' 
niucoiifl ni«iul>ranc; iJio n^Mtllc is ilicn |inw(i) tliiim^li tlio 
wound lOirliuv on thf opposite Hide, a%-oidiii)f the niiKiiiiH 
nii-inlirano, and liroucht out ttmui);)! lite heroii.4 iiieinhraiii- 
» «ln)ri di^taiKv Iron) tlw wlp- of tltf wound, U_v iliii 
Miiliin< tlip lijn of the wouik) arc iip|iro.\iniut<Hl. For 
wlditional sti-nrit_v in prcvcntiiij; llici-Hcaix'of ilieiniiittiilH 
of (III* )ni«<siin<- and to {kn-iiiv a|)|irii\in)ulii>n of ilic mtoha 
surfiHVH a fi-w Iji>mlH<rt MitiiivH .ilionld Ik intnKliiM-«l, 



Johtrfs StUnr*. 




Jntnt't mlanr. 



2&0 




HINOR StTROKRY. 



'riiiit mttiin* which wii» (•niplnvwl in tniitHvi*rm wniiDdit 
of till' itilci'tiix' which ii)m|»l€tfl_v or iticiiiniilftily <tivi<lwi 
tUv p\», ipi iiitrcKhi<iil nlU'r ttin)ii>c lh<- hiU4T <-ikI ••!' the 
liftwfl ill ii|K>it itet'lf. When Ihtr divisiou nl' the t:(il wum 
iruHiiiipk-ti' hv finphn'txl oitlv (tni- sntiin?, whm vtauuU-U: 
two; (Ik- mkU of Uic Mitunw wvrv hnnifjht out or the 
4-xt'-niiit woiiiul. (Fij;. 1T5.) Itv thiit uiHh<Hl of eiitiin' 
till- two M-ntiir; eiiritiix^ an- hniii);lil inln <><>iiUuTt. 

Suittra Empioyed in iHUtlinal An<t»lomoM», 

When it It <ler<ire<l to form a peniiaiient <>rili<v bi'tn-wii 
two |Hirtiuiu of the ^1, ihc «ihU of xiw ;|;tit art cU»m\ iukI 

no. in. 




)MI>>ld>iraM4|1n«B(«i'«4MkMn(ilb«ie|^le* KiMKUBMmU 

un oiH-fiiii^ ■■ iiiiuh' in i^i'h |)<>niuii of tin- g\tt, iiu<I the wiills 
of tJti' i^il HiirnKimliiiK ihi* o|H'iiiii^ iin- hrlil in i»iitai-t 
willi iiH-ti olhiT liy Hiiltin'* iittiH-liitl ■•> (HTl'onil'O )>hl(>« iif 



VARIBTIBS OP acrURK. 



261 



(Ittnk'ilinl Ikmil- ; tliU w tlie im>tti(Kl dwisMl l>y St-rni. The 
iiumiicr of UHiti^ the Im)1io [ilalet^ niHl Mitiinra is Hhowii in 
VijI*. ITU uii<l 177. Tn m'mni|>l)sli tlif winif piirpiw 
riihlKT riiitp^ or perlomled |ilni(« of rnlilier liiivc- W-en nn- 
|il(iyitl. filrio rin^ nuulf rrotu (til^.tii, in wliii-)i tlit' Hiiturra 
nn- HlUiflm), :irc iip|))ic(] in tliv i«inio uiutint'r as Senn'ti 
i>laUv. In usin^ the rubber ringH or ulaUv it is well to 
ilividf thrni lit onv or two jmitits aod iiiiilt> them )>v <nt|riit 
Miliin-H which ivil) (iotU'ii and \>v d'isfttWvtl in u few 4la\-B 
(iixl iilhiw the rill;; iir phitc ti> cluingi.- U>^ !(hu|H' ami 
furililiili' itf i)iiK.oi^t' throiik^li ihc IhiucIk ; it' (»t);iit rlnKS 
tin' (-iii|il<>yi-<l ilii'M- Mill Ih- Nkl^ciKtl iiik) thsaolvMl in a 
ithort tiriif hi n» to !<«' jiOMiiil without ilirtii'iilty. 

rw-in. 



IMtCBTIIX 




•WONIO IH US'' 

■tounto *v 



•leTioH orniH* 



Tli|i«iii MMialng pomUm «f boiia |>UI«> In InMUlMt ■Will n MP* klWr 
■WMttdNalltMloWfL IKCMMK) 

At tW |in-Miit (imo inaiiy Aiiiyt'oiM in |i«Hi>rniin); in- 
fi-Kliiial iuiii--ioiti>x-i»i ()iH|H'nM- «> ilb ihi- ii!<4- of iHini- [>lnUi« 
or rinp' nml iiiiikc iim' of AUui'» lontf incixion, in wliich 
iiHi-r <-loHii)|* the Iwo i-iiiU of thi* i;iit, llir twiijHirtioiiit urv 
lni<l iihiii|fHi(lc of mrh otJuT iiihI two niw.-i ol i-tintiniioiifl 
Irf-nihfrlV Mitiin'n nn- n|i|ili<-(l, » i[iiarliT of iiii iiu-h ii|nirt 
luiil nil iiK-li lonirnr ihuii thi' |in>)HiMHl ttit. The Imiwi-I in 
ihvn o|iciK-<l lor lour im'hi-*^ ii r»iirlli of nii iiiHi fViiiii iht> 
"iitiin-iH, Ixilh n>W8 U'intc to out* Kidi- •>)' fh<- ciil ; ibf •()>• 
jMjwitv iMiriiuii lit' lltv liowi'l Ih i)ii-u iijiuiitl in thi- maw 



252 



MIXOR SUROKRY. 



tnminiT, itiitl the mljiuiitl f«]p<H of th<- Itnvrrl un- iinitM) hy 
a oiiiiiDtxiiH niiluri'. Tlii- two ('«•<■ i~iit iilpi! tin- llifii 
lull I ti lit I I') mviirf iiiiv liliTiliii^ iliiii may Ih- |)n-wiil, artiT 
whivli tli(> M-ni(i» niirfiHiv on tlti- >i|))H»nU- win nl' ilit> 
(t)it-iiiii|[ iiri' ii|>t)ntxiniitt4tl nnil Ms-nntl liy Iwo mtK* itt' 
•-•lilt ill I tout* Id-nilN'rl'i' .■'(iIiin-H. 

IiHi-Miiml HI insl 1)1 1 It Kiln iniiy l>^ i-iiiiiloyifl iiisUwl nl' 
.liilHTt'.-< fliiliiri- iir ilm finniUr siitim' in whiiikIh (hhii- 
(ilHi'ly iliviiliiic tlif iiili^tiiK' siml iitit-r n^wiion nf tilt* 
Igtit f"r till' rt'inovit] iii' icniwUui or tor .ttrictun.-. 

Sulurrti Kmjilntffil iii Gadndomy. 

_ In llii" >iiH-nili<>ii. wlifii iIk- »ii]I <>f l)ti' ntnitnicli tins 
bt-cii i-x}HMiil, Iwo liiin-li)) |iiiii> "liiiiilil Im- tliritM tlir<iii)ch 
till' iii(if!iiiii«iii iitiil ii-wii<-»< iK-iir till' ut^ of till' woiiihI 
mill tlii'ii tlin>iiKii till- |H-rit<iiK«l mill iiiiM-iiliir <iiuts of llu* 
Hlotimrli, lo briii^ tliv ^iiHiitv of iIh- Ktotnwli in c<>i)lii<-t 
wild till' |i>-ritoi)ciiiii iiivi-riii^! tltr iniiiT jwirliu'P '>(' llu- 
alN|iiiiiiiiiil uiillii in ilic n-)ji>>ii of llir mhiiiiiI ; m fi'it ■<iiliin'h 
of nilk uiiiv ntiHi lie introdiinx) tn Mi-nn* tlii' wiill '>1' thr 
•totiiNi'li III till' (i|f^-» III* tlu' MiHiiiil. Till- ii|>i'nii)u iif (lit* 
•■■■iiiitu-li i» jH<>t|Mniiil tor tour or livi- dftyn if |u>^tl>lr, 
iiiilil till' iKlliCHioii U-twivii il» \t»ll.'< iiikI tlif iilxlnniiiiiil 
|inn<-l<« in MViirc, nwl iit llii« titnc iIm- xiitiihii nhil llii- iiifi" 
un- n-iiinvi-il. 

Whoii iiiiitKilijitf ii|M'tiiii)f orilM'Mi>iiui<-)i in ni|iiirr<l for 
iiiiy niuuiii, iilli-r till' Willi of till- Mliiiuiirli listf* Ibiii i-xiiow<I 
two «ilviT-wtn- niitiinT< iih- imsNtl llir<>ii);l> tlic jHTitiMiml 
nml iiiiiM'iilur <imlH of tlir iitoiiiw)i l)v iio<itii-i of ii n<i<(tll>; 
iIrtx- NHiimT' 4ioiil<) \» iilw^itl imiwvcTft'ly In llu- i-xti'nia1 
niNloiiiiiiiil miiiiikI nii() ft-rw to ilraw iIm' wiiII of ilii' 
>toiii»('li ii) 'iitiiiict with tile iitiii-r iniirKiiif of tlir nUlntn- 
iiinl iiK-ixiuii. 

A loll); "ilk Niittiri' i» next ]<il-miI tliroii^ti tl iitiT 

cikU »r lliv ■tiiiiim-ti Ml thiK llif Iiio|w [irojif-t ii)i>m llit' 
cxtrmul ■iirtiuv of ilic orintn {a). A iirtillv, luviii); a 
lioiik n<iir iirt rxtrctiiitr {f), it (miwil tlimtiifli (lif iitMloiif 
iim) wull nml iniiniiEi-H tin- loop mi'l ilrawi* it to tin- niirfiiii- 



VABIKTIKS or BUTURBS. 



26.1 



of tile ulMliHnvn near Utc nipi- of tiw iiUlntiiinal Moiiud ; 
llii^ Mamc nmiii|>ulj|tit>ii i» n'|HiiU<<l until nil of tlte lno]M 
Imvc Imvd l>r(iii]|;lil lo tlu- surtiiiv ( I''ig. ITM.) 

A iiien* of riibtiLT tube- is curri^tl iinitin*! Uic extenial 
u-onml iiinl t-Ii|)|>«I tl)n>ii];h tin- Ii«)Ih wliii-li pmjt'rt iijmn 
tit*- Hidiiiv III* (lie alKlotiK'ii (c), jiikI Uv ilmwiii^ tlic ll•l)|w^ 



l'lu.lT^ 




BbWiw* to iMwtilNIt c'"'""'w"r- (KoamK-J 



tfuht Mvpp tlic niblxT liilx- iiiul iviiijr tin- i'ihIh nf tht* Mttiin- 
llti' Hliiiiuw-lt Miill in Mi-imil ill >iin(nrl uitli lli<- inmr itiar- 
ftiii.t of (l)riiUIi>ii)iiuiI wimiikI, mill tt timv U- rol'clv ujh-ikiI 
iil^cr lH-iii|^ iliiiA tisitl. 

lu ll )N-n(li<>ii i\f ffa»fi-otomg, whi-rr iltc t'loiniH'ti tuM 

Uvii cxiNiHi) iin<l <>)N-iHil kimI (III- (iin'icii InnIv n'liitivitl, iir 
itri rjivily }ui» Ix-i'ii <>?c]iliinH), nr lu i>rilui> 'libiliil hm tin* 
I11M- rnuv Im\ iIm- wiiiiihI in iIh- mill nf tlic »i(imui'li i* 
HoMil witli I^-iiiIntiV siilin>->i, filk or (-nttftil Ih-!ii); tin- 
tiinti-i-iiil i'ii)|il<)yitl fur Milnn-rs Tlic uUlmtiitiiil wihiihI U 
twxl I'l.iMfl with (Ut^i Milim'M witirh titi-liiilc tliv )«rH'tiil 
tHTitiimtiiii. 



264 



HIKOB SOBatBT. 



Lis»turr« Daod In the Tr««tm«at of ViiaaulKr Orowlba. 

ViiriixtH fomtfl of li^rntitn' nrc twn\ for lh<- »4raii|niliilii>n 
of va>H-itl.ir i:n)\viK>: i)i<- timtrriul umiI for liK?iliin'!< ii^ 
iiHiaU,v MroDt: mIL or hi-ii)|i ilintHl, <-at>;(il, "r !'i)vi-r vtin-. 

Thr ^iv/tr Utfitlu, r tnVA Ah. 

This if- npitliol l>v lit>< iiix-rtiiif; » luin-lip i>iii iliroii^li 
lliv skill niiir rln- tilK** •>(* tlic (•Mwlti, ]ULi*int: it iiikIit tlir 
fTToulli uml l>rin);iiit; ir» |><iiiil *itil tliroiifili t)ir hUjii iiI ii 

IHiiiil uiiiHwili' till' ]>i>iiit III' inini' ; ii »tr»i^ ^ilk <>r liciii|> 
ipitiitT', wlii<-ii \uif (win wi'll wiixii), i* |itvuH-<) iiinlcr tin* 
t^iiU vf itH- (till Hin^miHliii^ itic Ixiw; ot' thr lumur nud iii 
tlniwn light rooufrh m ■rrangiilutr ihf gmwlli, tiiKl u 
Mt'iinil l>y tw<i kixitM {Vi\z. 17!>). If tin- ^mwlli in iif 
ntuv'iilt'ralilc Mw it i« l"-tl<-r Wfim' i»]>|il_viiifr itiiv lii^iliirr 
lo iiilrxliM^r II Miimil |iin iil rii,')il iin^l<-n In iIh' fir^t mi)', 
iinii thi'ii "•I'lin- (III' lipiiiiiH' imitrr tin- iiiiif. In ujiitUiii^ 
tlitw l<irii»> III' li^itim-x til li«iillliv i-kiii, tliv |>iiti<'iii u 
mvn\ iiiiK-li )«iiii, n»il tin- H«-|>iini(iitn i)f i1m- iiiiifw i» 
ItiHlfiKil, l>v (-lilting n iinaivo in llic nkiii witli n fliur]> 



m.in 




VMniUrMiiMir*mB««l«M»Hii|«naiii)llB*iMR. iKonBt^)' 

kiiili- nt till- |ti>iiit wlii'if tlic li)tiiiuii> in U> lie npjilitil ; the 
lixutiin* whi-n lii<<l in Idiriisl tit thr nRftvc lhiii> iimil*-. 

DnMt IJgtiluir in VtjMtuhr GttmthM. 

Till* liKaliin* ih M|i|>li(Hl bv imwiii^ m ttfKlIc i>r u miHlIp 
iritit II liniiilli-, iiriiii-'l uitli u tlmilih- li)£iitiin>, ihnmffli llu* 



LIQATDRBB D8IEU IV VASCULAR GROWTHS 



2Ji5 



sU'm near lEi«' |;mwth, and tlu-ii tUfMiu); it tinder Oh> tumor 
and lmn)>iii^ it oiil ihrtxigh thv i^kiu m n |><>itit din^'lly 
()|t|Mi6itr the [Mtiut of ins«r1><in : !)»• liK»tiiiv i» tlivti <lividi^l 



no. Ill 






mill Uic ih'kUv M'tiinv.'.I luid tin- ttimur iw "inniiriilnttil Iiv 
iviti;; Rrrnlv tlif«>rnwji '' ' "' '' 

Mdc iif tlir tiitiior, nu4\ 
ttM'|{t»wlli(Ki)c. IWl). 



UI><1 IIJV il4^^>t< ii')iii>«<«i 11IJ1I lilt" i«fii'<il If ni<»ii{^ iii^iLiii 111 

iviti;; lirrnl}' tlit- «>rnwjM>iMlinjt fwU uf llio lipiinrt' t>ii niili 
Mdc iif tlir tiitiior, nu4\ I'tfotUin' '•lran);iiliilii)|; ■itH--ttnir nf 



no. 1*1, 




M)ilkulur«|/HTIiW«oablaHil*lureual|4B. fItaVtHt.) 

TIm> doiibli' lipiIiiTf niny n\mt \h- ii]))»lii<(l hv flr^l |niAiin|r 
H iiiii utx)<-r till- itronlli iiixl linn |ui^iii|]: a iHitllc nniin) 
\tilli » d(>iil>Ir llinwl iiiMlir till- liiiiior nt n^ilil iiii);li-^ ti> 
ttii* |tiii, mil) nllt-r n-iiHiviii^ tin- ntiillc iIh- i-ihLi itt llii' 



266 



8CIRni1 



liffutiiro are tii^cl mul ihf ttimor i» tttmii|:tilat(<(l in two 
st-vtioDB. (Fig. 181.) 

Quntirujiff Ligalure 

In npl'lying tlitu l!|^|iin- twn nt-^-illn" mrryinp n doiiMi- 
li^itim- HD- ]UL-*«il miiii-r tlM< gntwilt a1 r'igUl na)i\i-ii Ut 
twU iithcr, or tl' lli«> IiiiimIIiiI n<'<-<iiiw )■■ iimiI liny timy Im- 
lintl iMiHsiil in (liij> iiiiuiiK-r,aii<l lix-ii llinnditl witli ()i>iit>li> 

rm.m. 




WMhod <ir aiiidjliw qiurftu^i* Hnnra- (Unnn.) 

liipitiinv, wliirli itn* rarriii) iiitiItT llii- |fn)nih tf llti-y nn' 
Mitliilmwu. Tlif iHf'tlli-K (■^'iri^ niiiiivi'd, tlir «iiry«-<iii lii« 
Iwii «iiiIk III' till- li^iiin- lop-lIxT iiihI n-|H-ntM iltin yni- 
imlim- nixil (lie ffniMlli liun Ui-it Htninpiitiitnl in (i>iir 
MKtittn-. (Kl|t. IH2.) 



LinATURXH USKH IK VASCULAK OROWTHB. 267 



lliiK U iijiitlitfl iir iiilnMliicitijr ii iiivilli' iiniitti uitli it 
tit^ilrirr-lbnin^li rlic ikiii miir (lii';:nmlli,nml <-arrviii^ it 
(ltnit|;li iIk- siilwiit;i»"iiif iWiiiii iiroiiiiil tin- (:rtiwl(i fiir u 
slmrt iliMnixv, tliiii brinj^iiij; it oiil rtin>ii^Ii tlii- !>l(in. The 
nixilli- \^ Bpiiii intnxliiix'il tliiiiiif;!! tlif Miimi- jiiinrlitn-, mill 
■.'• ii^iiii l)r>i(i^ht out thnHtftli tin- Kkiii iil hhw ilisliimv 
Iriiiii |)k> tii-Mt |H)iiil of fxil.iinil ih ih'.\1 inlriKliH^xl (lintit|;h 
llii^ |itin<-t(in' itixl hntii^liloiitut » inon-ili.-<[ant jHiiiit. Tti 
llii-> wiiv ill)' ^>wtli i" (iniiiilolrlv clK'ircliii liv ii ^itla-iilii- 
i)iiMi.-> li^tiiri'. wliii-l) if tiimll}' itrntiKlit oiiL nl the |H<iiii 
of ftilmiiiv ; (liv tumor if •tTuii|;iilBtifl liv finiilv tying 
tiig«-tlii-r ihc mil" of till- lipiliirv. (I'''K- '"•*■) 

FN. wl 




MMk«d of (fflyliiK HiteuMtttOM Mmuuw. (tloiJiait 



If K iiiiilli- iiriiti'<l H'ilti B tloiilili' liftiidin- in lirvt luuwKtl 
tin<W the cniwtli the liiriliirt' U tliviclKl, awl l>y |ut«^<iii;; 
iwli i-iitl (if fl)f<livi(l<Hl lij^ltin- .iiilN-iitiiiiii>ii.>ly nriKiiHl tlir 
t;n>wlli il mnv U> HlniiiifuliitMl xiilMiitaitnMtMiy in twii 

W1-ti<tll». 



368 



MINOR SUROKKT. 



TliU li^catiiiv it) piiiiilrjvafi t<> MniiiKiilutv tiiinttni ii( 
irnyiilrir nkn]H> i» ii mimlH'r uf itii-tiiinii. A tMntii}; ftik 

nn. IN. 




H«UMd«fapplxb>KB(i«luai'< ll»Uai«. (Kuumui.) 

or Ih-iii|i U^tiirv llirco vanU in li-iwUi, c>ii<'-linlf of trhU-Ii 
U HiniiKil lt!iM*I(, it* mrriHl t>v n iiii-)!!!' im a iloulilc ligiitiin- 



mm. 




KrtctHM^i UfMunkiFMM. 



iiikIct tl)«- |;t>iivlli St vnrioii!) |M»intii m as tn Inivp a fvrim 
III' liiiiiin (iIniiiI iiiiif iiii'lirH limit "H '^"'li ""'*' "I I'x' iHiimr 
(Fig. \&4); Uic l>Wk |iMi|M lining nU on mu* m(|i<, tltc 



TRRATHRKT Or nKMORBHAOB. 



260 



whilr iw |Ih> otitcr, the i-mU luv Ihvii liriiily livU suiu-Ui 
ftmiipilalt' llie i^ruwth in HL-rtion«. (Kii^ iM.) 

KI.A9TIC l.t<lATrRE>t. 

liiKiilimvi ituidc of India-nihbpr %'aryiii^ fn»m half a 
Itiir I'l ttt'vrnil liiUT* iu tliu-kiiiiw «rv often niiult' iiw i>l" in 
fiirmTy. Tliey may be i'm|>love<l U> ^ rutijtiilutc jiniwtlis 
Hiich AS i»ul«8 or iwvi, iir in tJie trmtment of liHttilw, nml 
(in- i«])M'ially iiwfiil in lh« tnutiiicnl of tti<i!4(> <raf4« of 
tiMttlu-iti-anii in wliii-)i tin- inU-nml oixiniuK iulii (lie Ixiucl 
is FiiuiaUti tii);!) <■■>. n.-- the diviHiim of hiicli Hstiihc iiv tliii^ 
nu-an^- in accomplL-ihitl uilhont Itcntori'hn^rc hik] k ith tc»i 
risk lliaii by IIk- fin|»lovmciil of ihf kfiilV, In ajijilyin^ 
elaslie liKntiini^ in mAt canes tbo 1iK»liirf, afttT l^iiijj 
)kaN><^t tlimii);!) the fintnU by nitniiH of ii jimlir, Ls rarried 
otii tbron^li (Itc iiili-riial oiMiiiii);: tix- iinns i-^ n<-\l wi-II 
.■•tiH-ti-lii'd. uitil ibi- ■■lar>lii' li^tiin' in tlit'O timily \'u-<\ uilli 
two or llini* kitotF<; (lit- ureiiU-r llii- tt-iwimi iiiadi' l«>fon' 
tbo ligMtnrc i-i tti-<l tlu- mon- ntpiilly will it init Uf way <ml. 
Tbf !«inalt(T Kirn^ of nil>l»cT rlrai imp-tubes may Iw i*iil)- 
HlitnUil for tbo )<'>li<] niblior liicaUint*. 



nvatmeiit of HemorrhBBA 

Tlie nnri^-'Mi niav l>o tiilb'<l nikon to Innl rbi- followinj; 
VHrirtim of licJiiorrbnp- : nrttritil, i-rnou», or capUltuy ; iiik) 
tliHM- again an- ola»«itit<l um^inlinK to tbo linn* of thoir 
iMi'iirn-wo, a» — primaiy, tliat in, bli-cilint: wbii'b <Kt-iira iit 
tbf liino tbi' woiiml i:- iiiflirUil; inlermolMn/iiTrtinMiralirr, 
tbiti whii-li iH-.iirs ivitJiin iwi-nty-IImr or forty -4'i); lit U-mn 
aftor ibo nvi-iiiioti of tin- injiirv, wbii-b p-iirnillN taken 
jibio- ibiriti;; •'"' (^"'"i'"' of niNiion ; aitil ««vMi</ory, wliioli 
iiiktw jilnu- uAtT lorly-ot^lil liotiro, niiil nuiy iMXtir ul anv 
linio niibMiiiU'iit to Uiiii |MTi<K] until tlu.' wimutd n luiibit. 
Tbi- tn-utnii'itl of bi-m<>rr)uip< tn t'itlMT mwititHliaHai tir 
lootl. 

'lite roHtlilili'iit'it tnniliiii'iil of bi<m->rrbii'^' (■oTi*'i4t!4 in 
lcoc|(in(t tbc |Kiiioii( iti tin- rd'uniln'nt jHiHtnrv iiml nvoiilitig 




mSOR BUROKRY. 



Hitv ■mlilt^i ■•li-\iilion of tlH- IhimI or anu> wliii-Jt n^^hl 
liuliKi' IhIhI *tvn<-<>|H-. <>)>i(im i« ii valnaMr- rrVMrfvanl 
ijtmilil U' I'Dt'ty iiMil. Kr};»l, inllio ■<-»•], amrtalr or bad 
mtil liitMiin' i>r ipMi nuiv al«<> )>^ fiiinlovi'*!. umI aUflulantM 
ItittI lUal Htmiitil U- inrrt'iilly aatnimt-lrit^l. and la rxtmnr 
iWi« HUti* lnn«fwu>« ««- umnoftMoa «f lilnxJ iw dmrmd 
J( «ili ■ < s i>piftilW CM pier 180, — y be w—lwl la. 
I It 1 1 ' nwirurM uT lwiWilii,<i n sjam t anMiVB 

* '^■b mmy br olhtr Iim|iiiimt ur pmm- 



TwutiwvHV UoiTNxfc. Kit Xtcnatua. Hi 



'l'l«Vi uu\v U' rtfU%«l bir p« m 'Miif ifflinl •linvtlv bi thv 
Htttl ihv iviiin- ttf ihv riimktM, anl !■» pcnmiv nay lie 



I 



Thi^ nw'^itutoi out vt ti» iiK*4 vahMbJe mma^ vtU" 

tiltivnl iti t)u- (rmimnirt- niii|n>) nf 1 "I**!.' . ^^ Ba^r 
t |in>«nl ttimilv a|Kiti tl>r blrvJini* wwk^ m ihr Wintind 
(IT Ut lunl lai niokr |im«Miiv u)bui thr arlrry fntni nthtrll 
llic Ul<<<-<ni)|f uriM<n nt *a>nir i»<iiii t>rt«tH-u ibr ««untt nnd 
Um* ivtitri' iif (!ir cirt-ulotjitu. (Fi^:. IWH ti.iilnil uf 
Until >rri in 1:1 tit ili);itml pmamn- •«(! «(ilv In- inaiiilnittrtt Rt 
a (i'u iiiiiiiiti--, r<<r dir (Insvrk tit iW >uryn>n uf a.-«ti>tnal 
MHMi tiroinir timl, «> lluit it l> itnl\ miplitvi-tl until hictum 
an- Di)n|ilMl liir tiir |HTniaiHiil iM»ln<l nf lliv lili^ilinii;. 
Pipitut itiin|in'^»» •>(' thr nulial xtui iiltmr nrtii-itw b> 
fn«|ii<-till_v n-wirtiil In for lliciiiii(n>l ol* lictiixrrlLatP' 'Inrint; 
iiiii[iiiialiiiii«i>ri}ir lirip-iN, alMiiifdii' lixillnri nnA r<ii)i>rnl 
iirti'ni-- ill .iiii|iiilii(i>rii« III ()ii' kliiiiililiT- ntiil lii|^ji>uitH. 

It i- bI"i> ii^^i III omirol hiiu-'trlm;?' Cntin w<>umli< 
ritiMt thf nraiill ut ofr'uirnt, iir iIhim- nmlr tiv ilii- ki)ilT< 



UONTBOL or AKTKKIAU II KUUK Kll AO X 



2fll 



<■■' tlir Mit^-oii, ill wliicli i-nM' ihv liii^-r w |il»i-t'<l dint'lly 
ii|N>n iIk- (livi'liH) v<■w^^l, nr tx t*tti{>luvMl l<i IimIiI ii it]N)tip> 
or «^jiii|»niw timily in tliu wmiDtl. 



no. IM. 




PIgiM oatttnMlM «riM tamMl MMir. 



Cemprfmat, 

[ly tlic iiM' of min[»nwR< jilaitil ilimilv iit tlir wiiiind 
<tr iii'IiIhhI ti> tlif V(w<f) U'twrcii tli*' woiiml iiiHl llic nitlii- 
III' tliv •iritiliilioii, l)iv t<-iii|Hiii7iry iimlrol nl' ltriiti>rrliii|^< 
rimy !■■ vi-ry MiiliMlln-iorily iif<'i>in|ili^tii->l. Wlicw it iw 
|>>M>ili|i', llif itiiiiim^vi whicl) \fi :iii|>lifil in llif nmiiiil 
••tiiiiilil In- tnail*' lit' iiiiiip4-|>lic j^iiiu-, lhi-n*l>y <liiiiittiM)iiit|; 
tin- ftumii-s iif ivoiiiHl-iiifivlioii, 

Tlic iiiiiiitn-^ti p^lioiild In* Ih-M ih |i<ngliiiti liy n ImixUiki' 
liniily u|)]ilii'<1 attd in gnvntWy •-iii|i|iiyiil tiiily iii4 ii iciii- 
jMiniry <-\|Ntiii-iit milil ii im>n- |HTiiuin<*iit (iimiih til' niii< 
tntlliiiK 'I'*' l>l<'>'Jii>): ifl iMl<>|rliil. 

TimniiijurU. 

TImm< iiiMir<iii)i-i)lf>, wltirli ntf ■in[>l<>yi<rl likr thi- li>ni- 
IHimry iimlnil ul' Iti-iitiirrling4> rroni witiiniU, an- of inaiiy 

llifltTflll kilMle. 




MINOR SUHOBKY. 

I'tli/'a foNj-Nifiu-/, Hlii<-li is the Ih-sI for nnliimry hhi', 
croriAisbi of twit iiu-tal lilati'!< tiuiiloi-lit] l>y ii Hioiti); liticn nr 
nlk «tni|i, wilti a liiu-klc — Uii' iliKtniKV l»-twifii tlic |i1iil«f< 
lii'iii;; rc^iiliKiO hv a wn-w'. (Kiv;. 1S~.) In ii)>))lviii|; lliix 
liitiriiK|Ut'l a i-iiiniinsH or n)llfr iKimlim:*' h pljMttI dinn'tlv 
over till- aru-n.- t<i Ik' itiinjin-BW*! and may l>c 1h?1<1 in [him- 
liuii liyu ft-w Uinuof Uir-nillcr liaiiilagt-. Tlti'IowiT \>htv 



ru^im. 




of ihi- l<>iiriit<(iict in |>ta<->^l •iini-(ly oVit this jim] ami i)h' 
siraji vi liKlilly MHitntl anxnul Uti- liiiitt In kii'|i Uii* iiiHtru- 
tiictil iit |i)nii-. 'rill' aa-ri'W is llioii Uirmtl mi as to M'^inraU' 
Ihr {)l»t*--H nitil li)rliliit till' Mni)i, tlui-i fiirciiij: tin- itiiHim'tw 
or |iiiil iiiHiii tl>i^ arirry I'oiiiroMini; iic cin-iiintior). \'\»n 
iiHiniitii'iit is vt-ry p-iirnilh i-iiiiiIum-iI liir tlir ninirol of 
lii-inorHiit)^ ill ivoiiitil-'>>r tluM-xiniiiilii^, and is rH|HviiiIly 
iiwf'ul ill iiiii|)iilaiion iiT tlii-si- |inrts, lii'iiii; iiltniil over IIhi 
main urtiTV s>iri)r ilistniio' ntHivc llif n-jt ol ii]N-nitioii. 



COS'TKUL. or AllTl[Kt.\l. IlKMORKHAaK, 363 



nn. in. 



Ad !iii)>niVMtl liHirniqiH-t, kiiuvrn an the S[)aiiiKli 
wiiiillit)w. inuv In- >iiij>Iiiy«l ui nwit of fiiH-iTifm-v ; il is 
iin-|Ninil l>\ fol(liit); n liiiiKtk«-n-ltk-l' ur |)k<iv of lutixliii 
iiib) M cnvnl iia<\ \Awmf: u 4<(i»i|>if(« or «uiHitlt |ii-b1ilc- imi 
IIk' InjiIv of tin- i-mvjit ; lliin U iiluntl <iv(T tht- artt-ri' lo 
Ih- niiiirull<-<l, nii<) (lie <iiiU III' till- ltiiii<lkt-iv)iitr un' liiit 
liKiM^'iy {■niiiitil iIm- liinh; » oltnn «tk'k w ]uum-(I lliruugli 
tliiM 1<M>|>, iiiiil liy lwi»<iiii^ the- 
MU'ii (hi- l(Hi]i U lii'litctHH) mhI 
tlu- ">ni]m-*» if foni-ii tlnvrii ii|Min 
Ilwart.r>' (Kij;. IHJ*). 

Miiiiy itthiT litnii-- nf loiinii- 
i|tH't liiivt: Iki'Ii ili'viMil wliich 
liiivf till' |iiiil !\m\ (i>iii)|)T-]iii<l 
itrr.inpHl tn iiiiikt' jirvwiin- ii|»iiii 
tlif viTvit-l (Ititirul, MM-lt ntt liinlrr'H 
Hiirta tiiin))itfmtr( Fi^;. 1 Kli),u'l)M-h 
!r> i-m|>liiyitl in tlit' tn-iilmi-iil nl' 
iiiK-nnMii i>r lliv iliiii- vfwi'l-, itiiil 
for the i.ii»tni1 of hi-murrliiip- 
ill ;tni]tiilnlioti at iIk- lii|>-jiiiiil. 
Ilot'yV t'Ltrii]) (y'lg. \W) niiil 
8i|morini'« toiiriiK|ii<-t iVig. 1^1) 
an- (xiiK'tnK'tiil )i|hmi iIk- i>umv 
))riiirii)l<-, anil an- fnijiieiillv rm- 
pliiviil (i> ■■iintri'l till' i*iri'iiliiiii)n 
111 (he friitiinil ilrttTV in nw of 
ii)H-nili<>ii» nil tli<- i)it);li iititl liVt 
iind ill tlif Iniiliiiriit of fi'ntnraJ 
ur iNi|>lit<'«l iiiM-iiriMii. 

Tln' rfiiiJir lubr, or jifrii/i nf Kw(irrti'» npimmtuM (Fi|r. 
IJt'i) nu\y iiltui \m- ■■miiloytti for tin- icniicnirv i-oiitrol of 
iirtorial iii-iiinrrliitci', iM'in;; iijijilii'il iil>i>vc llii' wiriiiiil, mid 
if I tit* i* iiol lit liiitid.uny ftroti); niUlHToinl.or n jiiMi' of 
litip'-Miu-il <lmiiiii|n'-liitH' tiiiiy Im' iMtl KH n •nilislilnlr. In 
tH-iiiurrlinp- fmiii wimiihIh of idc linivl-' nml f<vl, t-MjKi'ially 
ill ftiilili^n. iiiiil ill imiinilliiiic In-iiiorrttiigi- fniiii «iinn(iA 




TlMliautakiiliidkM. 



HIHUH HUBaKKY. 



(tf till' ])i-iiis :■ l>uir iifilmiiiHp'-tiilH-, tirtiily itjipltctl hImiv)^ 
UiL- woiiiul, limy be viii|iluyi!d witli iidvniiiii^-. Tliiii lubv 



Fiu. i». 
c=3 




tJtlvr't aenk mmprawn'. 



Ifiii, l«). 



rui. i»i. 





no*7'idui>|v 



ai(iioiiuri iiiiinii-)»H. 



>r iiini|>, ullli<>(if:li ip-iicnilly <inj)loy«I to wMilroI lM-nH>r- 

liitt;!' rnini V(-^*<*l>' nf (In- •■xtrDmitin-, miiy lip iiMtl (ii 

^mtrol t\iv tcuiunti urk-ry as it (.•ixiesw Uie brim ul' Uiv 



CONTBOL or AKTBRIAL II KHOB RIt AOK. 1266 

]H-lvis, t)v itbu-iti); II (v>ni|irT^« uvtT llii- urlcry in lliin [Mo- 
tion, iLiMl tlicn aitiilyiii): l)ic i-WlU' InidiI !<• i^viin- il vtitli 
a tijLCdiv-itl'-c'iglil turn, |ni^iiig it )in<)i-i- itii- tlii){li, cniHfiii); 
ovpr thp nud, and iIhii nrryitiff tlio i-ihU ■niiiiirl th*- 
pflvis, aiHl fiwiiriiiK lh«iii. 

FM. in. 



KtitMvttmiiot Ktm»nb'» ■wmim. 

To ntakv |)rrwmir >.m the nxiUury urten*, it iimiim-sM 
^liiiiild Ix- iiliutft in tlx- nxilb. iitui tlic niMUilc of thi' tiilx- 
it* jtliiitvl iiviT llti" |i) li<il<l it ill jMiniliiiu ; ttx- ciiiU of ttic 
IiiIm- an- ()i<-ii nirnisl i>v<-r tli<- pliiiiildiT iintl t-nit^Mtl, iiih) 
lliiti mrniHl to tin- <i|i]Mi-<ili- itxiltii nml Mi'iiri'*!. 

Ill iiin[Mitntiiin III till' ^liKiilittT-joiDt, (o iiuiki* |>rii4tmm 
ii|Nin llii- ■'iilH-lflviiin iirTiTv, nliicli !.■< •lillic-iill I>i comiinvM 
l)v nil iinliiiiin' (i>iiriiii|iH-l, i)ic IihthIIi- hI' ii Uirp- key vri-ll 
|t]itlt)iil iiiiiv In- iHiil : it H lirnily |>n-wml ii;?itii!'t llit- vn«t'l 
itUtw Um^ <-)nvii'l<-, mill lictil liy uii a-ttitMiint, iiml u ill imivi' 
u vcni' RHtLiraHiiry Mii«ii;i nf iiiiiiniUin^ itn- ■■in-iiliitioii in 

tlllK V«»l*l. 

Tlif tciniHiRtrv omtrfil nl' iiiii'riiil lii'iniirrliiti:!' Iiv llii- 
use of liiciiKKiluii'- rnnv|F< in now vitv p-ncnilly i'iii|>li>yii| 
ill FJiiTviitil i>|HTuliiiiiH, 1111(1 llii'tr iiM- )i;i.i •lour niiifli In 
()imini^ll tlx- ^liiH'k lollowiii); >i|H-ntli«iii.-< rroin die Iuim of 
MikkI. The hiPiitit!itiilti- r<>ni-|iti in p-iH-nil mm- in nrlf* 
rrlaiiiiii);; it in t-lmnjHil tijain tln' l>l<i-<liii)i< vt'iKO'l, iumI iv> 
iiHowhI to n-iiiiiiii until ibi- >i|ii-nilioii it- iiiiii|ili-liil, wln'ii 
th« VMSi-I jfl M-vtintl |K-riiiiiiii'iilly liy t)wn[i|>h<nl)iiii tif a 



S66 



MINOR HUKQItKY. 



tt(^ltin-, iukI iIh- riiriH-ji" in n'lnnviii. Tin- lun- of tliiw 
f(tRV]M will l"i' r'HiiicI viTv >«itifirm-ii>rv ill niiit«illint; 
lictiiurriiiip- (liiriiii; (Ik- rcmoviil of itimorH »ih] in himw 
*>f fliiipiilulj'tii, 011(1 fur llif lfiii|Mimn' ^<i>iilnil nl' bUttliiig 
(luring tJic iiiNTnliiiii f»r InKiiiiriotny lltrv will Im* fititw 
iiiimt <-llirii-iit, iiM iilwi in iilxl'iniinal iij>i>n)tiiiit». in wliicli 
tlii-ir Hiiiilv vttu finU ili-uiini^inilti), (l*'iK. i'M.) 



}-^MAWn'» llAMlAUK AM> Tiriic. 

Tliis a]i|mrntiif>, vrhii-h i» a\*p\iv*l (n llic limlx* In n-»il«T 
Uicni Itlixxlltwi cliirin)! *)|it'ni(i<>nK, i-utiMi^tH of ii rulilx-'r 

IxiiHlat^- Iwo imd n linlf 
tnrlii-K in wiihlt iinil llitxi' 
iir litiir viinU in l<-n};i)i,:iiiil 



riu. in. 



UaaiMaUi) ftrtov*. 



II ri 



iIiIht UiIh- Ihii viirvK 



in 




li-nglli, I" "iM- i-iiil ol'uliii-li 
M altui-liiil :i i-hiiiii und to 
tile nllitT a liioik, or Ix-tli-r 
II nihU'r Klnij), ■>ih' !ii<-Ii in 
wiillli iukI otic mill II luiir 
viini" in Irn^rlti tt illi :i liiHik 
iiikI •-tuiin. Tlir luindiip- m 
ay\i\wi lu Uh< vxln-iiiilv nl' 
till- timt) iukI i* ciirrioi) tip 
tin- liiiih to 11 |M)iii( w>mi' 
(li<tl»n<-<' nixivi- t)i<- M'lit of 



|iro)HiM-il o|i<-rHtion 



till' 
IkiihU)!!' t^ it)ii>li<tl firtnlv, 
•in'li tnrii ovi'rlii|»[iiii); oni*- 
fnorlli of ilw |nvi\-«lin(; <*uv, 
iin<l wIm'ii iIic liihl tiini hn.'i 
Imi'ii iiuuIi' iIh- niUlNT tiilx' 
or Htnijt in Monnd firmlv 
iinMui'l Itti' linili mhI Mvnntl 
liy t)ittliiiin)f till- IiiHik inlii 
ofM- of llx' liitkn of thf 
<*)iuin. 1 l''i^. 11(4.) Attcr Moniriiig tli'-lnlic or Htmp lliv 
nililHT IhiimU^' if> nimivcti I'min ih<- limit unit if thn tiibv 



IflNAROtl'tj BAX1>A0B ANI> TUBK. 



287 



luiM Ih-cii limily <-iH>ii(;ti iim>li<'<] (lie linili Mill Ih' found u> 
In- li)aiii'li(0. nml "IkhiI)! Ih- frw Trfnii 1>1<mmI tliiriii^ lliv 
ii]H-nili<>ii. i 'aiv mIioiiM Ik' tiikvii not in ii|>|ily tlic liilt- or 
utmit t<K> tiiflilU' ill [MHtrlv di-vclniHtl liiiilw. or on furl)' of 
tlu- litiiU wlicrt- liir)fc m-rvc tniriK» ii|>|>nM(-h tli<- Hiirfiwv, 
iiM tlirr may Ih^ Mitjjo'lt^l to mi imioiini of pn-wim- wliii-Ii 
will inti'pforf uith tlu'ir rinii-riim" inil(«iiiici(lly, I Iiuvt 
kiH)vvltiI;>i- of oiH- iiiM- uf tli!>> rtiKiirv in wliicli iHrniaiiiiil 

Plu. IM. 




l>—fnli'> taiiiiliHCi vni lute aii-lMI, 

■i- of llii- liiiiti followtil till' nw of l-^^nmn-li'N 
ll|i|Kinitiin; tth' tiilx- itlioiiltl Ih- iipiiltitl witli jiM inoit^li 
finnixwi (o (iinin>l (lie i-irt-iilnlinn. 

Af till- "trai*. M'lu-n (irmly ii)i|tli4il, itMiiiilHdy nili' off 
ihi- riniilolioii of |Kir1i< Mow, it slmiiltl In' fliipliiil for an 
Htion II time ltd iMWHJIiU*, iiM f(au|;nii<- iiim ri'Milictl from ilt 
[iniloiipil IIW-, 

After till' n-nioviil of tin- IiiIh- lli'-n' !■ K*''***"i"y ■|">t<' 
fnt- mjiilliiri' lii'inorrhii)^-, >hu- to iKiralyM" of vnnoniotor 
mTVt'^ Iroiii |)nw>iirt', Imt Itiin in it Hlif>rl time )ito|M>. TIiIh 
iii>|Nini(iin w of till- gnwu-wt rM-rviii- in i^iiithillint; fiiii)i>r- 
nmgf at t)w rime of o|M-nitioii, niid in iimiuitntionx nntl 
ronioviil of viiwiiliir timioro fnmi tin- limtm will lie fonnd 
iniinl. <utiii*fii4'tor\'. In oiH-nilionH uihih iMini-, i-illicr (»ti>- 
otomv or ni-(|ii<-*trotoiiiv, il in i-itiMi-iiilly n»'lul,iiM it ntloW" 
Uk* Kiir^iiii to liiivi' II view ol till- inri.i nitnlM'iircd hv 
lK-morrli(ip>. I luivc roiiiiil itr> ii-«- moot Mili»lnil<>n- in 
o|NTiiiion>> for ilii- ri'movul of fiiR'if^t ImmIii'*, -nrli ok 
iHtilliv imlH-<t(l<il in lliv liniiiUor l<i-l or cxtninitiiii. 



ac8 



HIHUK illlKaKHy. 



I'KltMANK.VT (.'<l.VTR»l. OP AltTKltlAI. I iKMoltltll.XllK. 

To Bwiin- ilii8 mil llw siiiywui may ntvirt lo (lit- iim* of 
|M0iti()ii, (iiW, hwit, !ity|iti<-s, |ii>'»iiirv, (wiiliTizutiod, lign- 
tioii, totvioi), or B'-it]mi<*iinr. 

J'otUum. 

In iirtt-rial Itiinorrlin)^- fmni wcmiihIx iil' tlio ttxin-inil)(i!i 
I'li-viitiuii (if till- imrt will Im- toiiitil In iimtorittlly ilimiiiinh 
llif iiiiioiiiit "f lit-ttHirrlui);!' ; in liiitiiirrlmi^f (n»u ivohihIm 
or llti- »rIiTu> of the hnnd, forvarnt, futit, or lif;, lorcililf 
Iti-jcioii of lli(> fimtinii OH tilt' nriii or of tbt- liv on llio 
tJti);li uill Im' f!)tiiul iM'ful in tlimiiiiHliing llic funt- of tlu' 
UlMol-itirn-tit. 

Chtd. 

'Dh' i>|i|ili<^uion of <i»l<) )>y nii-witt of i Htnimi of <'olil 
wiiti-r or iHi iiv-lmt; or pioi^ nf iii- will tiftvu Ix- IoiiihI iiii 
«-ltii')riit OKttnM (if (i>nlrr>IIiii); li<'ioiirrliiip'.ln>io vif^'U of 
nmiill i^lilm- ; it i)* (^|Ms'iiillv n|>jilicjil>li- lo Iti-iiiorrlmp' 
from hoiiihU of lli<- vit^vlo *tt tin- unxitli, iioslnU, vagina, 
or n'«;<iim. 

JTol Waifi: 

lliil nnl«-r will U- fniint) ii vrrv rtlli-iftit nimn^ of tvtu- 
Irollio^ licinorrtui^i' fr>>io miiiiII vi'mm-Ih, iohI it iimv Im? 
iiMil ill ili(> fonu of II lint iitiiiN-|ilii' Miliitioii. It tx of 
i'M|ii.vi»l vdIuo in m|>tlliiry or |mrcni'tiyntiitoii.t licntitrrlmgi.' 
utd ii> iKii|»loyi<(l ill till' fortii of » ()tKM-lH> nr tiy ninuiit of 
ii|ioii);n< tli|i[ii'(l in ih*' hot Miliitinn nml jnu-kot into the 
niHiMil. Injiiiion nf liol wiiicr in a niiift wit isfiuior>' 
int*tJii>tl of 4i>nlrolliii); iitcrinr liiiniirrlmifc. 

Slyp1ie§. 

T1>iT<' ii;><'ntK iin' •■tinHiititw t'Hi|)lityr<l In ninlrol I'liitil- 
Urv Itli^tlin^ of lirinorrluLK<- fn>i» tnuill vtwo-l*, Miid 
iiltnoiiifli ilirir n«c U oDiii tgitlMfin-lor)' tw ni:iinU llit- 
tiiutn^l of llo' liliiilinfT, llo-y Imvc the (tiMulviuiUip- of 



CONTROL OP ARTBRtAI. nsHORRRAOK. 2&0 



inb^rrmnj; witb (lit* priniiiry iinicHi in winmdti, mid simi- 
llir viiliu- (>r tL«-)ic>iK ill H-ouitil trralnx'iit lins Ini-ii ilviiioii- 
nlmlcti liivy AFC now vvn' Ki.-lil()m viiinlovLtl, Tin- iikhI 
\iiIiiiiIiIp H(y]ili<« wliHi nrv usnl nrviiUtMinl, nliim, oil of 
tur|H-iitiii<-, M-n-tiWulr of in>n, iiikI imtvii1|>IimU- of iron nr 
Mnu^i-l'tt <i<imti(>n, a(i-ti<- ariil, und vini'^r. 

For thv ]jprnmtM.>nt coutrul of urteriul licntnrrhagv 
|>n-«Mtnv may Ijp ii)m1ic<I tlirodly lo l)ie l>lw<]!n);-]M>int or 
Hiirfaiv by tm'iin<i ol a i->ini[>rc»i nf anti!^|>Uc.- fpiM/* or tiv 
Htriiis of gniizt' r>!irkv<l (irmly into th** divlty from whcux^ 
Biiriwy- t)H' lilt-ctlin^ iiriM«. 

Comi)rHiw>i an> nwti witli tlw best rsuIIk where tlie 
proximity of ii Ixtnt- ii^ivt-f a firm Milwlniuv n]ton wbicb 
ibc vfsiSfl may Ih' «nn|>rt'!Wi-<i, as is (be «isn in ibc vi«srls 
nl'lbp Acnijt. I'o'ssiin' :i|i|>li(^l by iminis of )>ui'kiii}; with 
t>tri|k§ of gnniu> will )m- fii<in<l nii>s1 oftioicnl in n'litn tiling 
bcniorrbaiP' frmii i-avilMTi Hiich as Uic imsi', vsginn, or 
recHini. and in ih* cavitiwt rtttillinj; from tlio rpmoval of 
ntKTwwi tir rarioHfl Iwno. I'rwwnre may Iw indirw-tly 
niiiilHtl liy flexing the proximal joint over a rampntw or 
by linn luiiidii^'ing of the lintli. 

In ixmlrollinj; bltfiliii;; fmm a divideal artery- in ii iHiny 
nivity, siK-h a* the inferior iltntal, a \»tw of rjt^nt lijpi- 
lure may be forcvd into the canal, aud will rnutrol llie 
hlntlin^ in a morit HilisliK-tory manner. 

Tb<- tn>iibli-)<nnii- bcmorrhap' someiimen iHi-urrinf[ aHvT 
(be n-inox'Hl of a tmilb inity Ik' conlrolliil by |i:i''k!ni: ibc 
iilvitilnr mvity with a ^iHii of iri<i'^('< or by intnibrein^: ti 
ivi'<l;,n--ti|iiiin'<l [>'h\v of i^>rK and huldin); !l in |iliu'*' I 
&nt*.iiiiiK the jaM's top.-thvr by wraus of a liandajip-. 



IV 



Onutfrivifion. 

Tin- itM' of twitcrirjitiou by imiiiLt of ii IhiI irmi is n 
MitisfiK-iitry tn«-th'Klnf iirmtlinn lti'i»orrlm):f. Cure Hhoiibl 
tn- liiki'ii to tuive thi* iniii onlv of a <lnll-nil or blork hivl, 
ii« llw n-Htili i|<-sirr'<l is no! rfn- dt-slnietii.n of ilte lissocs. 



264 



MINUK HUROKKY. 



Ill' ill*' |t«'ni.", :■ iiit-oi- nl' ilniiiui^'-liilH', liriiilv a|>]il!iil nlMi\i« 
Uk- woiiihI, may Ix; uiijiloyitl uitli iiilvaiiliigi^ Tliih (itlx- 




nihim 



no. IN. 





lle*r'*claK|i 



Mtnnrlal'i lmitnli|tiM: 



or Mini]), nlttioMKli K«-iM'rnlly •■mjilityifl t4i ntiilnil tMinor- 
r)ut|p' fnmi vitwif of lUi- r.xtn-mitiiik, miiv Iw iu>»il f> 
nmlrvl (1k< ti'iiK>nil iirtvrv nn it emwiii tin- liriiii •>!' Uie 



UONTBOL or AltTKHIAL IIKMUUHUAOK. 265 

I«-lvi(s l>v iilacin^t a ii>m|m<Ni o\-er llic arlm' in tliis |Mifi- 
tion, aiwf tlicii a|ii>l>tnj: tlio <>IiL«(ic Imml t"> t«pciipf it witli 
n lijiun-"f"-('ii;lii turn, |i».-w4)a^ it imJi-r lliv tliij;ti, (Tu>tfiii]{ 
over the isul, anci ih*-!! ewming tlio cmis unMiiu) t]>e 



pelvit), atiu Atx-iiriii^ them. 



Duueunfor (biiwcrii't anMiOu- 

Tm niiiki- ftntwim' uu tlii* nxiltiiry nrK-rv, ii «-<)iii|ir<w 
■ilKtiiKI Ik- |>lar(f] in tin- iixill.n, itnd llir iiii<)()K- of (lie ttiU- 
i» ifliuiil owr tlitfi (<i hiilrl it in iNmtinn ; the «-ii<l~ uf ihi' 
tnTic nrv llic-n nrrini iivcr tlic HlMinkltT nnil cnwN-d, nntt 
ihi'ii mrriiil tr> tlx' »))|M>KitL- iixilln itiul ■ccuntl. 

In uni|iii(iili<>n iii tlir ohotililcr-jniiil, lu ninkf pniwitirf 
n)»(in tlif ■iilo-liiviim .-trti-rv. ivliiili ik dtHimtt l<> H'tniin^"!* 
Uy nil unlinnry t'>iiriii'(iit'i, tin- IhiikUi' "i" ii hrp- krv wi-ll 
[Mililt-fl iimv Ih' iiiHil : it i" Uniilv iim-wuiI n^iinnl llii- vi'^wrl 
nlxivv tli<-<-litvirli-, and iirltl by iiii Hf^iHtniil.cilxi will prow 
u wry mtififiH'ton' iiHtiiD' "f <-»nln>lliiiK iIh- fin-nliili'iii in 
thif) vnwi. 

ifamoiialir Farcrpt. 

'rill' linnitonirv rxmlml uf aiivrial lt<-iiiitrrUiip- hy tlu- 
iiw^ uf hicniDStiilir fonv|<t> tt> now wry p-ninilly 4iii|>l(iyi-i] 
in )Hirt'i<iil i>|M-nili>iii-<, unil tlirir h-m- Iuu> iIiiih' tniiclt to 
<liiniiii.->li (111- nltiick folloviin^ ii|n-nition^ front thr low nl' 
UIikkI. 'lilt* liii-iiiiw(iiti<' riirci'iin in |p-iit-ni) iim' ii Hi'ir- 
n-lflininir: it in ftuiiiiNtl ngiuii tlw liliiiliit^ vi-wh-I. iiml i>' 
illlon-iil l» miiiiiti (iiltil iIm' ■•(K-nitiun io niinttlHinl, hIh-o 
lliv vHtM-l i)< Mi-iintl {HTniuiHiilly liy llii- Njiitlicalinii of tt 



97a 



HIirOR SURQXKY. 



tinti of llio \'<«i«>I, in lo list- :i ciirvii) iM-nlli- llih'iHU'^l Miili 
■ <ntgut ll)i»tiin-, wiiM*!) in piiKWil iltijilv into lltr liMuti-A 



trm ts. 




Aiwutluii ncullc If luod wiib Usuutt. 

iHiir ilk- vii^fl ami limil^il mil uri ihr o|>|Hi<tti- "itif ; llw 
lipitiin.- tliim jilwTil in llii-ii Itriiilv liiil, itiitl tlii' uiiU mv 
cut Hliort in the wdiiihI. (Ki^. \'M.) 







III ittin iik-iImmI iif (itiilnilllri^ tirtcrtiil ln'iiKirrlinp' ii 
luttllc itr |>iti IN iiNil wliit-li ir< llinihl tliniiiKti llu' li>«(ity 
ill Hiich It w-nv hh to niiii)iniM tJir nrliTv. TliiTc iim U 
nuntU'r (tC ntclhurlri i>f khihk tJii' iti-nlk' «>r ])in, iiikI ii fvvr 
iif thi-Mi- will Im- ilcTtf-nlttil. 




AOUPBKSSUBB. 



278 



Firtt MHhod «/ Afupmnut. 

In thiy iiivth<><l tlio wtirp-iHi |)1iiit:>i ii fiiijjcr *>f his trft 
lianil ii)Hin tlu- nnHitli »r tltc tOtt^din^' vi^^i^i-l iitii) uilli )ii« 
n;;lil liami iiilriKliux-r' IIk- iif^Hlli- rmiii llic (■itlunii>ii>' "iir- 
fiu-v itn<] [sifivti it tliixiii);!' lli*^' thickmiw of tlit' flii|i till it*^ 
point iirojiflK fi>r n nnipV nf lin^w or m> fmin ttn- KiirfuiT of 



FID. Ml 



VH.1DL 




•arlWc. (EaicMtn.l 



tntfliiN. (Swobra.) 



lite wiitin<l II Utile III till' rij[tit ctdr nf tlw (iil>ct)f the >■<•**■" 
ily Ton-iKly iiu-linin^ the hi-inl •>)' Iht- iK^IIr tovinni hi.-i 
ri^lit lie lirin^ llic |)n>j<i'tiii;c )Hirliiin >>f ifi^ |><>inl Hrinly 
down un tin- r^ite uf llii- vi-mh-I, iiikI iit\iT nc^ini; ihni it im— 
cliiiliat lite urtcry he ituiki-s it if-riiitT ttit- fli-sti as ninr t» 
I>ipt.ih1c to the It'll AAf 4if the wimnd nnd ]>u!<lios the imxlle 
thnxit;)) tilt' (li-!<lt lill iU |Miiiil (^>n»«t nut iijr-iiii »■ llic i-ulii- 
iM<wtu niirGiM'. (KifT*- ^'*> <»*il ^10 



Stcond Mfthtxl of Aeupmuwr. 

A Mnti^hl mitllc llinwli-)! willi a dhnrt piixv of irim nr 
filver win-, li>r tin- iniri>iw nJ" nfti-rvrnnl n-trtifiinf: iiml 
ri'liiovin^ i(, !<• jxtwi'd iloviii llinDi^h l)ii' Mill |Kirl> ii liltli' 
t(i out- pidc III' itic vi-nnA ; ilx iH)int in titi-n miiMil ii]i tuitl 
|Kim<Hl oviT the urten* tiitd in (Jii'D tunttil tluwu u^iin uiul 
ihntnt into (he wifl lhf>uif> iMi tlii> nlher nh]v nf tlu- V)-mm>I. 



374 



UINOR 9UB0XRY. 



Thirtl Mrihod 0/ AcHptcauHlX. 

Ill (liif iiivtliiMl till- |M>iiir III' the- iM^llo ix |ii»f<N'(l intolhv 
ti>u.iic- II few liiH-s lo IHIC ciiii- t>f (lie vitvwI. iIh'II [tu<^-(l 
uii<li*r it niid »n<rrM'»nl guiolKi) mi, r*t tliiit tin- jHtiiit ii^iiii 
(•iiwrfpi* 11 (V-w liiH* Ih-_v<iii(I iIh* vctoto). A I««i(i of win- 1» 
next |»M<rd UV4T tln' point of tin- nt'ollo, uiil llivn iilW 



tfWl. 



n&n. 




ilpii|rawifo- 



igmiiMt 



ndiMiliol. 



Ac«|m«u»-itiliil ntMbod- 
IICmikkkm.} 



iH-iiij; fTtrrii-tl ■•vt-r thi- vi-w«-l iiikI ]«i»»<'<1 »r>>iin() tin- i))I|ni- 

Mill- l-tiil ol'ltlr lloillc il in ilniwii HtlHicil-lltly ti}:llt (n r'liiM- 

tin- vviw-l.niiil llir riiil" iif ihi- win- iin- •n-iintl liy tnakiri); 
11 Iwinl iin>tiii<l (l)i' kK'iii iif tlio iiihhIIc. i,V\^. '2\VA.) 

FcMrth Mtthod of AcuprriMtrt. 

TliiK itH'llu'l >" tikiilitnt wilii ttii- thinl. i-xivfil tluit a 
lull); |iiii if \u<-<\ il) \>\iuf 111' llif iKitllt', till- Iitwt of (liti 
jtin n-iiininiii); u«itH4lt\tli«- Hontwl. 

F\flh Melhoti of AmprtmKrt. 
rin, ai. 




*ri»|«>— w-Mli WiWfciL iKmuMW.) 



TUIATMSKT or VEVOUB nKUORRIIAQl. 37& 

'rtiiH iiiciIiimI riMiKistn in [Kiiututt: ii pin or n<wlle llimii^li 
till- ^i(\ tiK^iKi^ i-liMO to the artiTV. ami Uy giving tltc ])iii 
a iiitiirttT i>r Imlf nilatinii IwUlinjc thr vrtMt-l ii|k>[i ibielf, 
flxiDj: lite mil l>v tliniftiiig \tn point cWply into tho tis- 
8ii«« Uryonu. {V'ni. 2IM.) 

Sixth ileihod nf Antiiregmrr. 

'nim nu'llxKl iimMKtn in tt]i]>lviii^ ttiv pin n.-> in thr 
foiirlli nK-tlifol, lint iliOi'iv front it in t-nnwin); tlic riidi' of 
ilir> win- lM-liiiit| till' pin ki iw 1o 4>n)liniir tlii' month of tlio 
Vfwi'l U'tH'wti tluin. 

Serrnth }frthnit of Aeuprriumrr, 

Tlii-^ iitcltiod mn^iFilM in )ia>«in|; » lout; mtttlc or |iin 
tlifm^li iIk' cniuniiin!* MtrlixT tlit-iUy into (lit- miW loriH at 
Honio (liitiam-R iViini tin- vi'h<4-1, Riiikin); il <-nifix«< ntar tli<' 
v<ifncl, bri(lKin>; over tlio vit*wl and tltcii iliniMlin^ it d<>«n 
into ttK- Mil\ imrls on lli<- othtr -lidt of iIh- vav4-l iind 
tnakin); ilt^ )M>int piiH'iyc u^uin from the iiitegiinKiit. 



TllK.\TMKNT (If VKNOI'H IlKM'tHKIIAnK. 

Itlcvdin^ fmni ntnaW vrinti oHni hIoiw MiHtulinicouiilr 
iinli'w tlivn- i" t«inK' pn-xwrn- n|H>n tin* w'oiind<-«l viMn» 
iljaiii tliu (iirilini- -iili- of (lie woiiiid. It i-, honcvcr, very 
Niiinriu'torily ('••n(r>>IK'<l liy pioitiiin or t»y ilic iippli'iilioii 
of II <<(>niprrM iind Immlap', or liv the iim' of n ii^riitim*; 
if tli<' diviiloci win In- » liirp- onr it i" wfll t» itivun- iHitli 
endx of tlic vna l>v li^rntnrrw. Tin- fni' Ulit'diMf; :inKiii^ 
from nigXurTit %iiniiiM' vi'inMnf tlx- U-v in <ii:<i)y ii<nli-cll<d 
l)y till' n|>plii^lioii <if :■ i-iintpri'M^ iiiid lictnibi^-, uhili- licin- 
orrlinp' friiii) ()»■ liiiyi'r vi'ini, nni-li iii> tlu- jii^ilnr, ■•tiuiild 
Im- ciitiinillii) liy tin' iipiilii»rii>ii <if litni|nnf< tm in llic mm- 
of w(iii»d<il nr(4-ri4-M. Tin- iii)|iliiiiri»i) of ilic Uitfmi Ilpi- 
turi' to Hiiuill wouiidti of VfiitN of liiiy«> mxr, miWi m» tltr- 
r<-ii)>>r»l, or III uoiiitilii iif \*i-iiii<i« KiniiM-M, Im* Imvii nitnii- 
iiii'nilt'il, uihI i-iiiploviil uilli )f(>i>d n-«iiltii, uliifh iiuimkIm 



876 



HINOB SUBOKRY. 



in itim-liiti]{ ii|) tlio Willi III' iIh- v«>iit m* iw lo iwliitk" Uis 
r»rm<v <•( tlic woiiitcl iiikI llintniiij^ ii lU-lirair lignUirp 
anviiiHl it. 

TIm- iim- lit t\n- iiHiinl niiitiTv nmy nl«> W ni|iimit fiir 
llic (i>i)(r<>I of vuHUi)' iK-iiiorrltiip- In jm-iiionx in tvliicli 
iuf nmi*1 l>_v |>n>«<iirf or 1)m> lif^ium- i» not fuiKil>lv. 

TUKATMKKT OV OAl'llJJinY I[KM0RIIIIA<>K. 

(1i])illnr>- or ]uirenolivtnalous hvniorrluiffi* ut usimlly 
nrrii'liil Hjiniilani-oniilv liv ihv cxpiwiiTv ol tlit* injiim] 
siirlnii' iif the wi>ni)(l U> tm* iiir, but it in nOcii t*> prt>l'iiH- 
tlial ilj* iirn-^t Ut-oiuif a iiiHtt*T uf iin|Kirtaii<v. Tn <vii- 
Inil thi^ fonn of blcflinu, iirc»*>iiiv luiiv Ih' ai>iili<-<l to tlw 
Itliixliii^ Mirfiuv for II Hliort time, iiiul if'thiit IuiIb to umvl 
it. s|>i>iiKii>fc the siirliiiv witli ililiitc iiltii)t>>l will Miim-tiiiic* 
[inivo j«iti>*lhctnrv ; luit tlii' Ixft :)j>|>liititioi) fo nm^l lii-ni- 
nrrlMp- nf tlii^ nntiirt- ■!> hot Hiitcr, wliieh niav Ih- Uftti ii> 
tlif fiiriH «r II hilt l)ii-)iti>ri<lc Mtlutinn. Aixrtio aciO ai]d 
viiM>piran-nii'> wiinoiinint i-iii)>lny4Hl for tJ»c .soDie |Hir|)OM>. 
lit ni-*!^ H'liiTi- tlic iniiinh niciitiumtl altnvf (iiil to i-rHitr4>t 
thf hliiiliii];, it niav In- nc^t'ssiin' to |KH-"k thv K<Hin<i with 
Mtri|*> 111' iiiilim-Mir pinxc ; lliif* iln^fliriR ih nn*! MTvi«i«- 
abli" wlnti till- lwrin.rriiii(i»' nmn-s from invilio mirli ai^ 
ri'Mill friiiii till' ri'iiiiiviil of Innion^ or i-xrit-ionn of jiiintn, 
mill for till- iiintriil uf l)litilini: followiii)! the n-moviil uf 
■tii'riMil or ivritMiH Inihi<, |Mrl<in|; tlir i-uvilv n«iilliii); m 
the iiii'tiiod v<TV irriirmlly I'lDploytxI. To nrntrol hcm- 
iirrhii^' fiiiiii the niii<iiti-> i^ivilio', hii<*Ii iim tin- hum-, n^*- 
iDiii, iiml VRffitia, Ihin iik-)hoil of tn-iitincnl is frtiiiM'titly 
ntuirlnl lo. 



TitKATMKNT OV HmviMiAltY HKUdimilAUK. 

ScroDilnry liiniiiirrhnp- lollowittif iIk- iiiw of Uh- ItpitiitT' 
or othiT oifiin- of i^iiiirolliii^ liliiilinu i", Hiini- itii- mlii]i- 
lioii of llki- iitii!H-|iii<' iiirth<Ml of u'oiiml-lniilrni'tit, ii ii)ii<-h 
li>*< fni[iii-iit iiiimiliintiiiti of witiiiiiU. TUr tri'Nlincnl of 
UiU ivmijilittil it'll IN Urfh miiMitiitioiuil mid Imiil ; ihi' tim- 



TRIATMBHT OF SBCONDART BEHORKHAOK. 277 

f«l!tii(!(>iiiit tiiiiiniriil i>iii.iUl> ill (I)" iiM- III' tliiiM- n-niclM-K 
wliii'li ui*n' iiii'iitioiici) iu-i M'rviii.iiMi.'' in |>niiiiir}' iH'iuor- 
rUoft^; mid rln- ilnip* iiinm wliidi th<' dkmI n'liniicv w 1» 
Ik- jilHnnl iin- npiiini mui ttyiit. 

Till- tiNvl tn-nliiiciit ol'tliis tiiriii ririiriitiirrlinp' iiiitKintx 
ill lli4- iiM' iil'llif varioii.-i im-niiH ■ifii'iilnillin*; li<-iiii>rHia;^' 
uliirli luivi- L^'ti iiii'iilioiK'*! lM-r<in-, '•iii-li im llic li^ittin-, 
liiil Mnti r, |tn>v4in-, <ir tin- iMiiml niiili'i-y. If |HiKiilil<-, it 
h well III Mfiin' till- vi-HHt-l Iniiii wliioli ))h- Ulcttliii)^ iiri**-!' 
ill tli<- wiiiiik) ; if lor siiiv n-iii«>n thin miiiiot U- iIihh-, ttii- 
imiiii iirlrrv MioiiU) U- li^liil Nlrnvr tin- niiiiii<l il' tll<- 
hrii»>>rHi;i|ft' In' nrti-riul. 

RxtUitJor Ltgathtg Wotuikti Arta-iai. 

Tlif tollowii)^ riil<-H tor llw ft]i|iliniliiiti of ti|{iilunw tu 
woiiiiikil ulcm-v nn- tiikl duwii bv A«liliiir)il : 

1. Ill iWH-d itf |irimury lirniorrlin^, iio(i|M>niliiiii F.I11111I1I 
In- |H-rf(iniii'<l ii|Min »n arttTV, iinlcvri il is ai ihr iiitiiiii-ni 
uritiiillv bliiiliii);, Ttit- t.-X(f-|ili'>ii ti> th'iri nilc iii in tlit- 
iiii«-)i wlh-rc iIm- va-KfSi-l if mvii lii jmiIkiIi' in tin- vi'iiiiikI m- 
wlirn- tlif wiiiiiiil iiivulvw lilt' nviiiii of a laiy** iirn-r>' nml 
till' |ialii-iil liiu tt) U' tr]iiiFt)>iiri<-<l ur tnnv Ih' in 11 jNitiilioii 
n<>l III mvivi' Hiirifinil ni<l Fiiilt-i<i|iidilly il' tXTatnl ; iiinhT 
lliixi- riri'iiiiiKtmio-K. iIh- vi-hm-I fJimilil In- l!<il ur lh<- Knniitl 
ii|iii<ili| Im- i-xiiIoiiiI to .iNi-n:iiii iIh- liti-l tliiil iin itii|Hiri:ini 
ViTM-l lln^ Ui-ii injimil. 

2. In n|i|)lyiii): 11 lipitiirr tii a woiiiiilnl tiiion', lli«- Mir- 
)*t-iiii ftttiitiUl ittt ilimii <lirr<ih' ii|miii it ul llii' |Mtitit Cnrnt 
wliu-li it lih-nlx iiD'l M-ittnt- it ill the WiHitwI. 

ThiM mil- tmlil* i^-xl fitr U>lli ]iniiiiiri' niiil m^coikIhi;)* 
iK-iiiorrtuip-. 

:{. Tuo lij^timv ifliiKtlil \f ii|iiilii-tl, tun* to inti-li «>ihI or 
till- nrli-rv it' il Ih- n>ii)]>l<'t>-)v ilividiil, uml oik- i>n racli 
i>i<lv of iIm- nmiitil iC \lw liit1i-r lui> mil iiiiniili-li-iy M-vi-ntl 
iIh' t^ntJii »f tlu' urt(-ri'. Tliio jmNV«]iint U iulo|it4<<l for tin- 
niiwiii tluit th«- ur1<-ml iiiinoloimiNiiit in mi fn<c llinl tlii' 
]in>xiituil liKiitiin- will iint alwiivo, i-vrii tiiiiiiorarilv, itrn-ft 
tlu' lili-itliiiK ; tu»i if il <li>o> m-nmi|iliNli tltw i)t>}ii't nt tlii- 



COITTBOL OP BEUOKBIIAeK. 



279 



nuir \k cotnnlctetv lillnl up ami t)ip hieptlini; tKarreetwI. 
Care should oe liiKfii to mv thai t)a- »i|H)ut:i- hitf* hepii n>n- 
flentl n)Vj>tic Iielorc liciii); intr<idihT-(l, am) the nufsl (nvity 
■iIiiKilil a\Hi In- uiishei] nut witli an aitfL>if|itii- Mihitiuti iH'fnrc 
its iiitrixtiii-tiiin. Thi- >«|Hiit)i;('K iimy Im- iilluwt<<l In ri'iiiaiti 
ill jjliiif lor twiiilv-loiir tn fi>riy-l>i^llt Iidiik. (Fin- ^'5.) 

nu. m. 




numlBclkduuvrmMikcfiMiL IKuMvn.) 



)*h)(!};iti); th<- iiuni< hr tut'nn.'* nl' ItclltH^jV i-nmiln in aUd 
■■iH|il>>y<i) (iinritM )tiiii>irrhup- rniiii tin- tUL'«il iiivilii-<; iho 
iniiiilu, iiniHil nilti n Mlroii); li^iliirc, in |in.-4M'<l u|<>U)j: Uii- 
Honrof Uh* IKIM- iinlil it ntiHtiM tW |»hiiryiix, when lhi> 
ii))rirt|; Uiiit; jinilniilttl, (he Iti^lnn- i.-i H'ix«() iiikI l>n)ii);ht 
luit i>rihr iii'iiilli iiiiil Mi-iirtil til n pltig of liiil or iittl i>4>f>tii' 
IfHiiM- iif till' n<i|iiirTil "hi; mid ii|miii iviiti4)niw in(f the iii- 
Htniiiiriit till' \>\np io l)roii>:ht into jxHiiioii in ih<- jmHtprior 
itunitiiml lilt* rntl uf the tit^tiin' in iill4>wr<) t» |irti(ni«l<- 



m 



MINOB SUHGEBY. 



tiiHi', adt-r tlip rolliitcml nniilution its I'Mbtbli-iliatl, hliiiliiit! 
Li ii|it lit iHiiir ft'oMi tilt' dir^iil rxtrt'iiiilv ut' tlio divitlitl 
VMM-I, It' ihv tsnitu III' iIr- itrtm- am lutl tirmidi-ldy ai-v- 
4'n-d llu-ir (livmioii kIkmiIiI Ik- romplt-tnl, cUlicr iN'forv or 
iilW lli«- ii|i)i1i<:ntiim of tlic |>n>\imul iind ilWiil lij^itiirvFt, 
tlif'n'Uy liiviiriii}; llii- (■Dnirui'liiiii ami rctmHtnii nl' lli<- 

(•ndit of till' <livK)ul VOHM'I. 



CnKTUot. op IU:Mu>tiiiiA<iK puom Sprciai. Paiitr. 

^utaru iir )M<iii<irrliu^ rntiii llie niMP iftav Ih- so |>n>- 
fiim- Hs til no|iim- H*iri;K-»l iiilcrfi-n'm-p. To ii>ulnil tliin 
fiiriii iif licriiitrrhajiy tin* a|i|>ti(Titi>iii itt" u"cd (■ooipri'SHm ti> 
till' Hiirfaiv (if ihi- tutsi- nun' tirvl Ih' diikIi' Ure nf, un<t if 
(Uiii fiiiU t'> <i>iitn>l ttip bimliii);, t)i<- Mir)^i>ii or tlip italiptit 
nIioiiIiI anis\i iIr- i^irtiliip'intHiH iHirtiiPii of tlic iium- uilli liLs 
tliiimli uuil t'untiti;;!-!' in mu-Ii u iiuiiiim-T ns to kt<r|i the mw- 
trilu liiflitly vIoomI, wliiHi will (tivviiit tin- ]>»>«a^- of «ir 
tlii»ii)fli iIk- nose und tllll!* |K-riiiit dots In rnmi, iirffHtilit; 

titr \\u\X of liloiid. If tlu-N- f^ill)|>li' IIKrllllh tail to am'!'! llll' 

lili'iilii)^ llip imNil iiivity <ir i-.ivilit''' iitiiv tx- |iiii-kMl uilli 
Mri|i.H 111' :iiitiHi-|>ljr ^niiiu- ititnxliKit) into l\v iiiitiTiiir niintt, 
nml |>iiHltnl Inrkwunl liy n <lii-ti-l<>r or (idiIm'; llii)> M'ill 
oftt-ti Ir- foiiml u |RTt(vtlv Milihfmiory iimiiii« of nrn-ftiii); 
titi- liln^liti);. Tliii> tm-tlKxt iimv In- tMi)>|ilviiicliml Uy n 
\t\nii of iiiitiw|ilic •■olton introtlon^l into ilii' |Hnli-riiir 
iiutxw «illi (Ik- Hiit^TK. Tlic it-H- of II nili)M-r ItiioiMin.coii- 
HiHiin^; of a riiliUr Utt;, iiitn>itiiii'<l into tin- niin-« in iin 
i-tn|ttv i-taU- mill iilVrMnnl inlliid-'l, liii^ ;iliu> Uvti ntmn- 
int-n4ii'4l for llii- (-oniml of lliin virit-ty of lirniiirrliii^i!^-. 

Aiioilicr itM-tliot) of t-otitmlline hrmorrlitip' from llit> 
ttiHN- iiinxtfitK in tniriMliii'inf: n "iiiiill jiii-cc of »|Nit)|^-, litnl 
(o II HlntU); Hilli li)>n|iii'i', into tht- nnli-rior iiiirrv iiml |iiihI|' 
til); it timi-L iiloii); tlii' ttiHir of tin- iioni' tu llii- fmnltTior 
luitvn; II ■miill jiiiii- of !<|Hiiip- nlumr llii' ■•iitt- of it iiiiir- 
IjIc witli n licli- ill tin- ivnin- Li tlimwiii) on ttw li)intnn> 
■ml {Hbtluil W-k until it iiiitidM in niiilai-t witli thi- Hml 
[H<«v of H|Hin)(f intnxliin'tl, uiid tlnix l>y intrixIw-inK » 
iiiiiiiU-r of |>i<<ii> of "itonp' in tliin wiiy llir iul<«iI i-nvit^ 



OOSTBOL or aBUOURHAOK. 

may Ik> eoniplcU>Iv Kllctl up und tlic hirnling i^ urreHteiU 
C'jiR- gJiuiiIil 1m> tnkfn h» (NX.- (Iiut the Hpunp.' Iihh bttii iwi- 
iIcimI anrplic U-fon- hi-iii^ iiitnHliiccd, iiik! tlic nusiil iiivitvl 
shoiiM a)i<u Ih' uiiflinl our m ii)i ni) iiiiti>^')>ti<- solution Ufiiro ^ 
il« inInHtiK-ti>»i. Tli<- N)M>ii);i'n inny Ih' iillowtil ti> n.-iii»iii 
in ythu-v I'wr tu<ttty-l>>i>r Ui li>rl_v-fi;;lil limirK, (Kij;. '205.) 

rw. SOK. 




nuKtug tbo luna ftum Ibo fronU iKoiiutn.) 



I'lu):)!iii^ till- tuirfT> Ky iuiiin!< >'f Ri-11iHf('s ciinitlii ik hIwK 
pniiiliivHl toiim^t )K-fiioi'r)ii^r<- fVotii ihr ii]i>nl <^ivit !>''•: tlic 
I'iuiiila, iiriiuil will) it strong; ti^idiri-, is [Ht-HMil iiloiig ilte 
fliM>r of tlif iKKU.- iitiiil il n-iii'lxK the |^iiiryn\, wliiti th« 
npring Wing pntlrii<Iiil, ilic tigntiin' iii si'lxt'd im<l linmiflit 
mit nf lilt- Duiotli iiiul Minimi in n iilu^iiflitil nr niitiwplic 
^utf nl' titi- ni|iiir(>il *m; iukI ii|Hin withilrnwiti^ tlip iii- 
Htrumi-nt iJh- jiIiij; !.■* liroiiirlir inln |)i>iitiiiri in tin- jnHifrinr 
luiniiiiitcl iIh- cihI 111* llif ligutiin? b ullitweit Ut j>niini<lt! 




280 



HtKOR 8L'R0ERr. 



from tlif> nhiutli tn fiu^litutt- itA n>iiKi\-iil. (Fi);. '2l)fi.) An 
iinlinnrv llc.vililc iittlK^vr luuv \tc iinuUivci] in \>\wf nf 
li^■\U•t•>^ H <-»iiiiln l<>r till- iiititwiiu'tioii ■■< the li^liin-. 



n«. 




naOlntlllDIWITtwKh Ik4lMi|'> (WlUlt iFtMntlHM.I 



HrmorrUiige Jnm the UrHhra. 

In ItntKirrltiiKi- rnmi lli<> tiMlini, if imtl'iiw, the MimnI 
will lri<'l;lt' fniin llii- imitliiH, i>r if <-fTiin» ill iiiii-iiiritinri 
tkw iiuuli- ll»' lir>l i;iti-li 'if iiritH' «ill tHinliiiii IiIihwI, Imt 
ul^irnnril ulM U' rltiir, niid l)ir IhmI itrilii- will i->tlil»iii ii 
fi'M tlni|ii- of |nin' Mm"!. 

Tliw viiriftv of Miitlii)):, if il imMtinU fmiii iIh- niili'i-ior 
jNirliDii iif iIm- im'tlirn, miiy Im- otiilmlliil liy llif inrnoliic- 
tiiiii of N mtlH'li'r mill (lie nji|»liinlii>ii (ifu UtiKlup* ■ili>iiiii| 
llii' |irni^, ain'fttlK niiplim m wt l<i ninkv imly iniHlcrnii- 
jirrwiiri'. 

If ilie lili-(iliii^ iiMitiv fritni iltr iHMtvrior |>i>ni<>ii nl' tin- 
iin'llim, il will iilli'ii Im- miDlnilliii iiy Uti- u|i|ilii«itiiiii nf 
aM iir |>nwitirv Ui ihi- ]H-rii)fiii», or l>y tl»- iuirndiiHiuti nf 



CONTROL or HKMOHKlIAaK. 



281 



■ iT»1<l sl«i-l Imiigu', t>r by tlie iujccljoD of a <mltiti<Mi tif 

llmorrhaffr from Ike Bladder. 

In llii» variviv of hcmorrlinm* llic fint [lortiiHt of tin- 
iiriiK- iiuiy U- litiNHlfiliiiiit'<l .tml llic IiLit [Mitliim will <iiti- 
liiiii iiMin- M<mn] iiikI t-liiln itn r)ii- •>r)!nii timtrtu-u, wliirJi 
(liii(in)^iUiH-N it rrum liriiiiirrlm|!<> fmrn the kidtu'v.^, in 
whiHi tin- wlniixCnn- i»f blmxl with ilif nriin' n iiili'rs it of 
II Mitiiky (iilitr nr il.-irk-nil if tin- hlmnlinf; !-■< |iri'fiiM-. 

To (.iintri>l blitilin^ frimi \\\f lilmlili'r ii i-nllirtcr .ilionlil 
In' inlriMliti'T')) iiikI the uriiM' hik) iloi.i wii)tilnitvi> ; lli>' 
IiIihMit (tl)iiiiltl next Im> tviuJu-d <>iil with ii niinn »r <x>l<l 
Utrii' iwifl luilnlinii, or in m-vrn- <m*«w wi'nk iwriMpnil hiIu- 
liiiii!t, MK-ii aM tiiiiiiii- lu'iil itr iiliiin, ninv Ih- i-m|)liivc<l. Thr 
ii|i|>liiiiii<in lit' i<v ti> the |N'rin<-iini iititi 'ii[>m-)iiiliio rt^oiin 
iiiav n\r*t Im' i-tiiiilDrc*! witli lulvuntag*'. 

Hemorrhage from the Rntum. 

TliiH \iim<tv iit'l>lit'(lin^ mnv Im- I'oiitnitKil l>v ihv Uijtv 
lion of iiiM or n.-<triiti:ciil ciicniiilii. If tin- lili^tling In^ 
[m>ftw n HjHi'iiliitn nlioiilil In- iiilriMliiiotl, iiihI \^Ii<-ii (In- 
Mtiini' of till' liliiilin^ Im.t Ui'ti diMnvcnfl t)ir tictiuil <-»ii- 
liT}' iir II li)fnliin- nlionld In- ti|i|ili(il. I f tliin ih nm liiifilili- 
tItK fD-tiiiii iiuiy In- iihtg^iil witli iitri|)niif iui(iM-)>tic pnir^', 
»r a ]i»i<n- of II niM«-r i«lti<-icr of liiryi' inliliit- iiuiy Ik> 
iivrM|i|<iit willi piiiw aixl ininxlDiiil into ilic nvtiiiii, llif 
(■ml III' iIk- iiillii-ttT U'inc iilliMtiil lit ])nilrii<l(-; hy nhiiit; 
llii> IiiIh- H.-iliin iitn (^'ii|H-, ititil if iIm' blotliii^ in not niit- 
tn)lli'<l litoml nill i->tii|M- tliron^li lih- IntM-, iin-vciilin|f the 
rixk of <fiiii->nl<il lH-nii>rr)u^r<% If llir lilitiliii); ariM-ti fmiii 
Ill-nil I rrlioi* In or [hiIviuh of the nilum llir ii|>i'nilivi- tn«l- 
nHiit of liiaiti' i-iimlitiotiH mIiiiiiIiI Ih' iiiiilrrliiKi-n to (wniui- 
ni'nily nmlrol tlir lili-v«liii|;. 




HINOR SUROIRY. 



Op«nliiff and Dresslns of Absoeesaa- 

Aritir a^wrjiant, m n nili-, idtiiiilil \w oftdK-d l>y inciigon, 
hikI iIiU i» iKft ilonr willi u F^lraiulit, uarmn', sliuq>-|Mtint{«l 
litftitiirv : tl>'' iiK'i-otuti nIxKitil lit- <In-t> f>Doii){h lo fret'U' 
rx|M>M' iIk- iiivitv of tti<' iilnxx*!', :m<t sfioiild Ik- hi |iI{iiiI)i-<I 
iix t>i Im' |tunill>-l with iiiti) not avnif^ imiiortatil Mni(-tim>, 
mtil it !k|iiHili| hIho Ih- iiiii'Il- lit iv ileiKmlcnl a |M>niciii ns 
\nn^ih\v. Alt^i'Wm iif tli<: lituli^ nrc i){M.-nixl by a liiii);i- 
tiHlinnl iiMnitioii. aiitl thuM- in tin- rL-puii uf Um: iinii'' mxl 
Itniixt by an iiiriftion nKliatiii^ I'rotii tlu- iiniiB nr iii|i[ik-. 

Ill iltf|i-Miit4x) iiliei>-wo!i ill till- Tir(!tiii) III' iiii|H>rtaiit 
NtriK-tiirui (be iiiL-ttHNl or<>|M-iiiii^ MiKiri-T't^tl by Mr. Ililloii 
limy In- rm[tbiyiil uiili iit)viiii1n^>- : it (nnxii't'i in iniikin^ 
II Ml ml I iiii-iMon llinxi^b ibi- ■kin iiml rclliitur timn". ii 
dintlor if iivxt |tii>>lHtl lliniiffli tJu- liwiiui into lliu iiIkuvni 
nivily, wbirii will bt- nlmwii tu linvc Inwii nwliifl by ihc 
4M?;i|M- ofu liUlr ])ll^ iiloni; tlio iliiXM'tiir; a dtv»i!n|; fnnvjM 
wilb iIk' bliiilo' ('Will U iKiw |HiT'b(il aliin^ iIk' dini'tor 
itilit tti<- h1>mi-!« nivily, him) uiitii Ihi-^ ha^ Ui-n it»i>tii- 
|ilth)itil lli<- ilirti'tor i* willKiiTtwii eiikI iIiv rnni-|iF> iin* 
rtitinvcil uitli till' liluik« ex|miidc<l -u ha to clillllf lliv 
woiiiiil UIhI iiIIow till' (iiin li>iviii|ie. 

Tile iwily III' (bv nl»HTT« l>L-iii); iiiipliHl of (Hiit, it i>h»u1«) 
tn- irri);iit<il will) ii Mnitiii nf ii)rlHili<- ai-iil uoliilion I : ID, 
ur bii'bli<riib- »>ltition. iiii'l if tlic mvily it iml very lniyi< 
or ibvji nil ilniiimp-tiilM' tunti Ih' ininHliKiil, iiikI ii I'liinll 
|iiii<i' of |ir>>l<-<-livc iiuiy U- iilanil IxiuiT-n tlic- li|M "f iho 
Mfitinil l» |)n'vi-nl tbrir adlii-Moii ; IhiI if, on ibt- nihrr 
luiiiil, ttii- •iivity in rxtcnuivp iiikI lUi-jiiy Kitiuititl, n niblKT 
ilrainiiKi-liiU* nr n )*lri|i nf bxlornnii piiiiEi' iJiiiiibl Ik* 
ihlrrHliKii) (i> tlif Itoiiithi of (III' mvily lo •uvim- frw 
tlntiiiii);i< niiil IIm-*! ill llic ■iirliKr "( llic nkiii by ii Kafrtv- 

Iiin. A |iitii- <if proti-itivf wbii-b Iww Invn 'U))|>ii'>l iM 
Mi-bli>ri(b' Hiliilion tr> ih-kI |ilni>'<l over tin- womiil, iiml 
ovrr tliia In biid ii (fniin- lining, ninMMiti); of a iiiiniU-r 
wf lnyrr>>, wliifli hw> lorn tnoinirmil in i-arlMilif or bj- 
fhbiridi' twiltilion ; ibin in Lwi-nil by it iiiuiiIkt nf \a\vr* 





OPENIKQ AND DRKSSIXO or ABS0KSSB8. 

t)r<lrypiii«> wliM'h U in turn <i)Von-d l»y a pieco nfnihlK-r 
tiwii4\ The latter iiiav Ik- omitted, and over tliU m i)la<t>cl 
8 frw layers of l)ichlond« cntton iiikI the dTw*ing is hnally 
WM-iired hv a ntller ltaiiila)>f«'. Ttie dnf^iii); is reiiinvi'*! at 
tito end lit' two or tlini' <lav», the mvilv In-ini; wnhhitl out 
with one 111' the nnlLseptii' MiliitioiL'^ jircvionf^ly incntioixil ; 
the dmitumrtMnlH' may W .ihorteufa or i-emovcd, mid the- 
(IntwinjiH are n'ii|i|>liit) aj^at Ihc primari-dw-wiiiij. (jhW 
thift DietiHxl of treatment neiite ubttftrsseH iiMially IhiiI 
iHon* prom|)tly and with Ii-sh Hiipiinniiion than under the 
ohlor methiKlx of treatment in wnirh |>i>idtKVit were a|)- 
lili<'<I. 

Oiitmie or mtil (lAwrwcH, whieh iM-r-nr Hiiefly in imu- 
ncvtion with difUiuH's of tin* Itttnif or jointo or nl' llio 
lyninhatie svfieru, and are fcrm-nilly liilH>n-iihir in llirir 
ori|nn. may In- ofieiuHl in viiriotifi wayif, the time iit uhielt 
ihif ^hotllll lie diitie deiM-mtJui; n|>(in Ihe f'lXf and titiialion 
III' the ali''<i-^>><'>< :)iiil the lunoiint of nin-^litiilion.-tl iind 
liHiil di-iinrlunKx- whieh tiie jinlienlH ex]>erien<'e I'roni (heir 

A <<»ld abM-ctw may Ik- evatiiat<^sl hy nii'ViiH of the iLt|ii- 
nilor; the pus bein^c withdrawn im> far tu' [HWiilih-, tht< 
|inite1iin' IK oeiilcd uiih a nmidl |i)i.ti' uf ^n«- <t>v<'re(] 
with iialolonn entlodion Kituviimnlalion of the |iii» 
• •Oen tiikeH jiliui' an*) the (is|)imti<>n li.ip' (o lie n-jHrniil a 
niinilH.T oriimen. The |cniili-!(t dilhi-nlly in the HMti-wfiil 
removal of t)M> (vntenlx r>f ntUl alMnwvK hy incaiix nl' 
itnpinilion in the preM'itiv of iiuihmv of lym|d) in iIm- iiih 
wtiieh iM^'liifh- ihe iiiuiila and oHm pn'vi-nt the e<mi|ifHe 
i-mtityin); nf the i-iivity. 

TI»-«' nliMi^M* may alwi lie i^var-tuilt^l hy iiuikinf; ti 
|iiin<-l(iiv lhr<in}!h the •kin hihI overlyini; li»>tii-T> with n 
luimiw I'iidonry, the <'nrf:i<-<- havinir Uvti prev»iin»ly thor- 
i>U|ihly wimhtHl wtlli NMip and w-iiler and with n mHniHe 
or hiehloriih> ■olntitiii ; a dlnvtor i<* »r\l |Ht»li><d through 
thin ■mall wiiiintl into llic iiivity of the al>~''>-w> nnd the 
[HI" i' nll'iuivl lo <wii|M- hy ■Ireli-hiiiK the wound hy thi' 
dinilor; wl«ti tin- mvitv i» einplir^l »( piw it i" washed 
out with a enrladir or hioldoridn totliitioii iiilnxliieixl intij 



SS4 



HlirOS SUBOBRY. 



il Ity [Htrihirifc iJh' tHixzle of a svniip.i into llif tnvity, himI 
this m iiUowoI lit 4'M.-u)M> in the i<tunv wny m* tlu- |>iih [tn- 
vioiLuh' did, ntid wlicn tin- imK»tinir .toliiltiiti hiu> iill 
iMnitnl tl)c mvilv inny In- inji-i-tc«l M'illi iiti cniiilnion iMni- 
jMiM^I ttf iiid<>r<>nn nm* (Mh, glycerin trn |Kir1^; n)Vr thiit 
Iiiis Ihvii in)nHliicii| ||h- !rtiuil\ uoiiml in HimhI liy n iiuii- 

IinvH III' EintiM'itlii' jp^i'"^' Ix'td in \Aaif Uy a nnti\>n:-vi uf 
lidiWtdc i>innii nnd a luindiitcc or hv .itriiKi ol' wllii-nivf 
filaotrr. Tlic iiijet-liou nf tlis itMlnlorni <>iniil.'iHiii ntwd iint 
H- n^icolMl as loDft as ifxlofiirni cimtinms to Im> rxrrctwl 
witii till' iiriiic. Cold al>«*«se!* art' al^ii Irciilit) l>y uiiikiui; 
a f'n-c iiK-ifiioii !nt<i Iho alw"**** ravily willt I'till iinti.-«-|itic 
]in'<:iiiiii>>n>-, !ind iificr tin- <'M-a])e of tlic imnilcnl niiitliT 
Um- walLi of ilif !ilKM.n-!*ji FiliiHild lie thiiroii^ftdy M-ra)M-d with 
a Min-lt'', iiiid al\i^r lln- «ivity hiu* \nva iVwIy milhIi(<<I mit 
with a carUilM- or iMchlorid* mlutiun latye ilniiiuiKi'-tulin* 
itn^ introiliircd und an iintiH-|ttii- dn>#ing U apnliii) In tlii! 
wound. Tlic drt^wiiup^ an- ri'iirnvt-d as wxtn lu- tlwy Ix't'niiw 
MKtIiiil, and (III- dRiiiiii::<'-tiil>i-r> an- Hitiirli'iii'*) or n-nii>Vfil 
an llii- di-fliaru'- dimiiiiilii-f anil lliv i-avity omtriK-Di. 

Ill n-iK-iiatinit I'lirtmii- nlwtw?*-! hy imiintt nl' tin* «fl|>i- 
nUor or liy a mnall iinm-Hin', litnv is altM-tni- of tJuN-k 
aiMl iIh* Iimk of liliMiti IK inuii^nilicanl, mi ihiil iIk-m- |>ni- 
itiliiriT- rdioiilil trciM-rHllv In- tirst riu)il<iyii|, and llx- liiorv 
rvdiml iifHTHtimi of inrifion and itin'lliii;; of llir i-avily 
III' llif »l>^T-», M liii'li i» UMiiintaiiiitt) witli n irrlniii amount 
III' hImx-Ic anil Iti'niiirrlia^i-, f^ltoiild Ih- ix-m-rviil Tor (liiwc 
twr« In wliicli tin- I«vt wvi-n- ii|H-niliiiiL« Iiavi* (iiil«l io be 
flillowinl liv a MitinfiuHi>r\- n«nll. 

Diffua-ii tujifHiriiliun in In-ali-tt bv iiuin<-r>ii» |>niii-l(im 
or ilirinioiiT-., iiltii'b albtw llic |>liriilcii( malt<T to ii<ail[ir, 
atnl wlnn- kIoii^Iii an- )irfH-nt friv iuciMiins may In- rp- 
i|iiin.->l toifivi- evil to till- iuritiM-<l tiN^iiir; lb<- inlniiliirlion 
uf drainoiji-ttiU-o iiuiy iiImi In< nviiiin-d. TIk- noiiiidi' und 
t)>i- ntvitlcn, itn fur an iMiiwililc, kIiikiM W ivantM-d mil witli 
M <tir)*ili<' or l>i<')iliiri<l(' Mihitioii and nn Mtlrw])lif cuiim' 
dn'wiii^ plimild In' ii)>|ilii<il. 

SiniiKr» n-«iilliii^ rmiii alniiHir, if >ii|>i'Hii'iiil. oIiimiIi) 
U- biiil ii|>i-ti fni-ly and llH-ir >iir(hiiv oliotild U- iH-ni|Hil 




DBKSSIMO OF WOUNDS. 



USB 



with II (tlMtv iiikI lliry nlioiitil rlnni U- li^ttlly )iRtrki-<l 
Willi HtriiM itf liii-lilorMU- or i<ii)c>r<irin piuxc mid hIiouIi) U- 
nivrntl 1)_v iiii nntim.-i)li(< tlnwin^. If ihi'v nrv Km iltt-ji 
lt> In- tmilHl \}y iii<-ti>iiiii llu'ir iH-nling tiuiy Im- funlit(il<tl 
liy iIk' iiijiiliuii »(' <iiimii lilt til); rutliiliniiH ininHltii^il liv 
IIM1IIIM 111" u nvriiip.' ; IIm- «'in|iloyiiirnt of 'viliilioiiH of 
(-liliiridi- III' xim-, tiilmti- t\t' filvi-r, mul militlmlc of 4ii|»|n'r 
viin iii(; in i>ln-ii^tli rriiiii tiv<* to lut'tity ^miii)' Ui iIk- oiiikw 
of milcr »ill itfU'ii (mnv ■nliiliictury. 

l>III>tKl.\<l uV WoL'NllN. 

InciiiKil teQitftilt ptvf^'iit tho <i)n<)ilii<ii!4 liivdmiilo Ivr 
[ir<>iii|>t lii-alin^, ami llioy slioiilil first Im- <tnr<-riilly irrijpili-il 
with ail aiitbiftitu- Huliilioii In miH>V4> any hKiod-i'loiH or 
fitn-ii;i) liotlifti, uDt) after any hcnmrrluijp; wbk'h ih prewnt 
in (ii>nlni]l«l liy tli** tiHc of li(^1iin-!<, ii tlie wound Ik u> 
«'Xt('n.-<iv<- iir dn-[> imr, )ir<>visi<>ii -tlmtilil Im- iiiiitli- lor draiii- 
np- liy iiiinoliii-iii); n liniiiuiKi'-litiM- or ii few Mrniid.t of 
[>n'|icintl intpil (<i tin- Uittoiii <>(' the wixiiid, ulliiuiii^ ill*' 
I'Xtix-iiiity to |>n)|<H-l fmin llio mo^t d<-|M-n<l(-nl {Kirliim of 
tlti* WMUixL In !in|M*rAi-tiil iiH-iM-d woiinib*, iiOtT lhi! Iir'tii- 
orrliiif^ itik' Ini'ii roi)tnill<i|, ii i^ iiol iLinnlly roiiiid iiiit!^ 
Niry i» iiinkc any jmivi.-ioti dir dminai:c. If tlic Mound 
Ih' II dti-|i imc, involving (lie nni^-lif aixl d(i-{t Ih-^i'in, 
Imriiil !itilitn-> of ihIkiiI !>1ioii|i| In- iijiiiIkiI to a|i|>nixtinnli' 
IIh' tniiM-lfti niid fif^-ia, nnd if ttii|H>rliint iivrvii- or tciidoiiH 
liavr Ihi-u dividitl tlii'if t-titlh slioiild U- liniii)[ht tnl'i iinifh- 
Aition by xtiluitv of (nl);iil *'r fMirrilinnl r<i)k ; th«- tiU|N-rh<'uil 
(■•>rli<in^ of fill' u'otiiid .»lioiild iH-xt Im' l>n>iij;lil i(>K<-tliiT liy 
llti- intrtMlni-lionof a niitnlNTof iiiUTrii|iliil ruiiitnv, ml^nt, 
t>ilkwiinii-^iil. ^ilvi r m in- or silk Im-iii^ i-niplovitl lor lliLi 
IHiriMM- ; till' iiotinitf aiUHvition of lln- c^i^i-s of wnnntlx 
of lliiH varit-ly in Mi-iinif liy ill*- intnKltu-lioii of n nunilaT 
(if (•iitnn-ii pinri'd t-loM-lv tfipilKT. 

Al)<*r a HoniNl of iIih viirit-ty linK Uitii t-liiMHl tliv iiul» 
H'lini-iil dn^v^init i^ iti'<'om|ilt"In'«l liy dtiHtin^ I'li- siirlnrt' of 
liic U'iuiihI Midi itxloloi-ni or uriHliil, ami n |>iti->- of jinr- 
tci-tivp n liltiv IniyiT thiui (liv wmitHi, wliidi Imh Imm-ii 

IS- 



'M» 



■IHOK aOROKRY. 



dimml ill ■ \ '.40 rnH>ulic mjliition, in |i]Kn-«l over it; ovit 
lliiH if |>liii'«'<l It |>)i(I of .•ii}ti«-|)li(' pw/*\ oiiniNiMil of I(mi 
or twrlvi- lHVtT». w liirli lirw Uiii MKikitl in a I : 10 (nrlHtlir 
luiliilioi) >ir It 1 : ^IHH) liii'liliirHk' dilution, iin<) over (liih U 
liiii) II |iiul uf (Irv :iiiliM'j>(ic initiw tif till' Kiiiiii- tlii<-ktu-N(, 
ovr'i'liiii|Mii); l)i>' vift in>ii»' l>y It Trw imtiit' in hII dint-ltiiiui; 
u few liivrro nf l>ii-lil<>ri<li- <»)tlnii iin- iii-xl »|t]i1i(tl nvrr th« 
piiix<- (Iniwiiipt iiml llii- wlmlf iln-K-iii}; in i«iviir<-<l in iNini- 
tioii liy till- ii|l[>li<iitioii <>l* iiii iiiili'4-|ilii' piiixc IkiiiiI.i^'. 
HrvtU-r till" furni i>f tlrt-wiiitj; ]ihini|il luiilini; nf imi-tl 
uoiinilx in tin- rnli', (iiiil tin- wi>iiii(i iiiiil ixtl Im- n-«ln'fW«il 
liir n «<t'k "r Irn <Invi' miliiv juihh' iiK)ii-ii(i<ii)i> i-xi"! li.r 
tli<- i-liAiip' of tlnwitijf (It iin rarlirr |MTi<M). . Dry or nioifl 
iitorilixi-i] dixwiiiifr' nmy iil.-«) \w cmiil'iytil. At llic linit- 
iif iIh- lin>l tln-witi); the mtpit dniin or t\w <lrailltl|n'-ttil)'- 
in iiMUilly rT'mnvitl iiiid if (In- ikIIii'mIoii of tho «i1^(m uf 
llic Wound i:* firm lln- nii|iin?> nuiy nlrxi Ih' n'luovttl. An 
iintiH'jilic dn^wiii^ U itHunllv m-xl ii)i|iliiil luid iilloutil to 
n-ninin in |ioKiiioii forii fi-w duvn loitp-r. 

jMf^rrttlfd teovnda yiJvm-M wltp-H which iin- torn tind n«t 
Rhnqily fill, nitd Ihi- vil»!iry of the injiinil iniin Ih ofl^i 
MO wrioiiialv inijKiintI Uitil |>roin[)t liiiion in tnin vuriiiv of 
wouimI" in not, IIH -I ride, lo Ih' l<Hik(-d for. WhiiihIh of iliiH 
lialiiri' ■hoiihl tiot Ix- irrigiili-d uith iiii iiiitiM'ittic mihition, 
IMS ill the iiiM' of inciioil woiindM, uihI l>|iKKl-<*lotf< iiml for- 
4-t);u Uidiiw ohoidil U' ri'moviil. If lh<- uchiihI> In- dti^i, 
dmliiop'-lnln-M liltoiild In> inlnxtiicttl ; on thi' otln'r hnml, 
if thfv U- -itiM-rfH ud or if thf (ilpt* nn- nol i-loM'ly njipnix- 
iniHli^t. |in<vi.-ii>ii f<<r dniiim^i- niny In- otniltMl. Tlir torn 
or irn-^ohir iilj;ifi of lln- wnond --honld iir-vt In* hnxiuhl 
inli> ii|ijH»ilioii nt n fi'n' )H>iiil!<, hy liic iiilnHliii-iioii uf u 
li'w Illicit or Hilkworni-f^iil Miliim>, npjdii'd nol \ft\ 
■■loorly liip'ttMT; imd if lh<- r<\yf» iiri' diH'oh)n-<l iiiid llti-ir 
vitality Mv-nin tnarkttlly im]iiiinil, it ix Ix-tliT nol lo iinr 
Miiitrif, ImiI nW i^itixfit'^l liy liriof^intt llnni no m-nrly iim 
IHovililc in iiitilii'-t )iy ihr um' of n liiv Hti'it»< of i.tinKlii^-' 
]>liutl<-r nioi-u-iiMl with ii hi>-hlorid<- M>hilion. If (in- <-<l;:i'n 
of llic uoniHl un- on niin-ti fnuhi-d uo lo huvi- their vitiililv 
dvAirtiyed, tliey tiuy Im> trimiiH?d nu-ny with tn-iiMim until 



UKKimiNO or vr<tvsv». 



2fi7 



n mirfniv jH"»('!wiMjr fiiir vitnliiv w r«Tiiml. Tin- evil 
ri'niillri uri.-iii^ from rhe iiilnxliictioii nl' Miiiin?< iiiii> lliiT> 
wm-ty 111' W4ti)mU wtlli itii' iiK-n (il* clnL-tfly u|>|in>xiiiiiitiii^ 
tlii-ir ttifiyn an- a> 4v>niiiii)ii, llial ttie .■iiiiv>'<>ii u'li" clL-<|H-n-'X«< 
will) Um' iim* of iuitiin^ riilirrly errs ii]h)ii tlio Mif«' niiUi, 
Till- 11^' of nuiiiy !mtiin« in w-iitiml.* nC lliii^ iiutiin< (>f)«>ii 
miiw^ iiuirkKl ti>i)sinit in the Miiiiriil, wliirli i^ fniim-ntly 
foltoutil t>y iiii|ei!riiK-nt of the? vilnlity of tlir injnml (in- 
one^ ai>il fli>iii;liiug niiiilU. 

The* wihiikI sb'MiU) next l>e div-wfl siixiH-jilintlly, luitl if 
it mils II favi>nil)l(! c^umt- it a*t^l not Ih- rt-tln^Mtl fur ii 
wn-k or t<>n <Ut~H; lh« tiiu« m|uiml lur the n'[Kiir "f ii 
W(KHi«l iif tlii!< nat(in> h l<inK<T tliiin tluit li>r an iiu-i^tl 
wcMitnl, Jiml more frtvineut liriiwinj; inav Ik- rwjiiin'"!. 

In latvratisl woimtt <if tlif fXtrt-mitii-^ (i>iilnitioii>i irri- 
giilion of thi' wimml Uy a "arm liicliloridv or •nrliolir 
wiluliiin, u|i)ilit>(l as d«-!HTii»ctl (page 1 oH), is ottpn followiil 
iiy tho iiMi-<l rat ii'liu 'lory n-AiiIbi; wniiiitl^ pnMtuiiil Ity 
iiuu'hiiti-ry iin<l niilMiiv iui-i<li-nt.-<, in wliii-li tlic viliilily nf 
IIm' tiwiiiK it* inn<-)i ini|iiiintl, :ir<- jKirlii-til.irly lavornlilc 
titf^ for ihiH nii-lttoil itl' lniiliiii<nt. iinil licri' tlx* sinii' titti- 
tion nliiHilil In* cxi-irii^ as n^nU I)m> intriNlnHiitii uf 
Mttun'N. 

OnUK»r*{ WoumlM, — Tliiii viiricty of wi>un<Li jHJKi«<'MM« 
ituiny (-luini<'t<-ri.-<li<s in itunnioit with liui-rati-d MoitmlH; 
llii- tilp-!> nri- iiriiinsl nml llic injury of the snlN-iilainiMin 
■ UwiU' i" iiDi'ii nion- rxtcnHivi- lluui tlu- sixi* of llir «-xt<-nml 
*Wonn<l woiiW Irad one lo siis|«vl, Tlii-v iin- tlrfw*!^! in 
llic xiiitr nmmit'r ii^ liuvraliil moiiikIh, niiil ihi- ■iumr iiI)mi- 
tioii hcri' i-xirtiK to iIm- uw of suUirut mk in iIk' luttcr <JaD» 
Iif iiijnrint. 

I'uneiMrftl Woumtii. — TIh>m- wonmU un* iiifllt-tMl hr 
nliHr|>-|Hiuitiil itiHlnmi(-iiir>, iin<l it iiUm liaiifH-tH iliiii u 
■■■rtion of till- vnlnmitiiit; loMly n'tiininb in l)i<' w<iiii»l. ivt 
IN fni|(ii*ii|]y lltriuti- in houikIij iinxjiimil liy imilli'x; (ini| 
nnollM-r n)tii|tliivliiiti in tins viiri<-tv oCuoiirxl istlif injury 
i)f v<<HM-U,^iviii^ ri;*' tiiininittiltil iii-iitiirrlintfi'.iiriif ixtv-h 
nT>iiltiii|f ill iHHirili<i. Simple iHim-tnnil wotinil!' "lioiiM \w 
mrrfiilly Hanlittl with nu milt«-|iti(' Milntinn oiid ivivvml 



268 



VIKOR 8UB0SRV. 



by im niitiM-|tI]<- ^iiiiri- iln^viiig, nm) if no nmiplunltiin 
fXtAV Uii'ir liitilin^ i^ uhuiIIv vcrv mjiiil. 

Wlii-i), linwfvrr, u forciitit ImhIv n-iuiiiii-t in the Wdunil, 
Oft it nlVn liiii>|H-nA ill [MinHun'*! himiikIh |ir<a]tH'r«l hv 
iiittilcn iiDil |imn, till- puiKittml woiiixl r'tioiilil Ih- n>u- 
vi-rli-<l into nn iii<-tMil ^vihiii*), anil llic Ixxlv hIioiiIiI Im- 
(«Qr<-li>-<t Tiir iinil n-Dtnv<fl il' |NRvi)>)i', nn<t Jii •Inin); tliin in 
tlH-ciL-wiil'uoiiniUot'ttM- oxtn-mitii'H iIh- ••iHniiioii in tniii-li 
tiH-tlituttil liv ilu- i'Di]iloyn]fiit (if t^Hniiin'li'n IminLip- iind 
Ktnip. AlW lilt' removal of Dm- Icm-inn UkIv llir wimumI 
is ln-nt<<il MH ,in iiinwd wouiHt, siiJ an nn(ir4'|ilii- iln-wini; 
Khoiild lie a|>|ilit<<l. When tii»i%:jiltHl Ihiik irrliKiri- imnrs 
iiltiT :l iiiitii-dirit] wiiiiikI, tlic ^viniixl hIiooIiI lie jiiiil nja-n 
mil) tlio M('<iiliii): vifiMol Mart-ht'*! fur niul li^ittin'<l if |>iJL->Hi- 
l>l<'. iiiitl the hoium) hKouIiI aAfnfanl U- tIniMil tii« an 
im-iM't) wound. 

Poiaontd Wovndt, — Tb«w woiindB mv (Wittnl Ity ihv 
nl»uir|)tion, liy nu^ni^ of a ciil or ahnuiioti in tlii< .ikin, of 
lliiiilf' fnim u (I<Kiil IhmIv in ninkin^ tli-Htiion" or imkI- 
iiiorti-fii cxaiiiiiiiiiioiiMor in o]N'nitiiit! ti|i»n livin)> Hiiliji^-lit, 
nnil often r».iill in H-rione> eorM-<|ii<-i !•'<'!'. Sneli wonmls, 
a» mxm a« iMiM>il>le after ih^ir nii-iition, r-honbl U- nin>- 
ftillv u-anliiil out willi a nolulion of hiililoriilc of iiirn-nry, 
1 :*il)()l», or n :U)-)^in dilution of trhlori'b- of xine. iiiit) 
llti-ii «ln-*wil witli nil mi)i«-|itie ilitf^inf;. If, lioxtcver, 
lliiK iininntioii \f th>| lukeii or tin- wnnnil ivis (^»[miI 
nolifv, iiitil ill u few lionr>- lMii>nii'>< inHnniiil nml jKiinfiil, 
lin<l evi'h-nn-M of lvni|>lialit- involvement sliow llieniM-lvcH, 
the u'imiimI floHihl In* o|H-iH<it tinil IIh Miirfair slionlil Ih- 
ihoroiiplily >«)ihli<il onl wiili » .'ft-jiniin Hilnlimi of ehlo- 
ri<lt-of /inr, iiiiit tinnlly Millia I : 'ilMHI )iir)ili>ri>|e lutliilion, 
atwl it ■lioiil'l then In- ilntiHil tvilli nn an(i!4'f>lii' Kioi/e 
iln-wiii^. I'niler lliif nu-tliiMl of ilretwin^ the |M>iHiiif<l 
wonii'l i> ol)en <'onviTlt'<l into a In^ltliy oiie, ev<ii nfti^r 
llie lynijiluilie involvement in nell mnrketl, ami il noiuillv 
Itmir- )inim|i4ly witlioni farllK-reoiintitulionnl iliHturliiintv. 

GttHJttutl H'ounih. — Till**- wontMlF iin- iinNlnoed l>y "Mi.iII 
(•(lot, Inll*, or Ini^mentn of hIwIU. hihI iin- of the iinliire of 
n>ntnM«l aixl laivmtcti wonniU, ami tlie vnlnemtiii); Uxly 




iRKaaiKQ or 



rDB. 



2t)9 



n-t wvW a» |M>rtitins of thu cJutJiiitp arc otWi) iniliulflvil in 
the t)»MlC». 

In [Invtiiof: ltHi« woimdn «nv fiirrijini ImnIki^, if tlii-y tnn 
bo totatcd, Hltoultl lie ninovctl, iLn<l in llii' wiin-li for uihI 



nitmval of luilU fmiii tlx- cxIniiiilU'K llu> aii|>liiTiliiiii nf 

•itraji will in- fmiiKl I 
Tlif wotiiid rIioiiM next Ih' tli(>n>iii;lilv uTiphliol on) ivilli 



titc I'J^uuiMi lKiti'lii<.t'iinil <tniji will U- fmiiKf ti)ii»>l iiH-fiil. 



I : IfOIKl liiclilontk- A>1iitioii. iini) :iii iintifc|ili(- cln-NKii)); iiii- 
|iliit)uHiii thffUfif ofutlicr (MinlUMilniHl Lut'mUtl wiititHlB. 

PovdfT (lurns rmiiltiii)! fniiii tlit' fX]iliH^(Hi of |MW*<l«-r, 
ill iiililitiiiii to tliL- burning; uwl tin^-nilioii of tlic livxiitv, 
:ii>- i>iti>in|i»nit<4l liv tht^' iiilixMltiftiitn iir);miii)' ul' (iiiixinit 
[HturdtT iiil» llic "kill, wliirli, if nut rctiixvitl. Unvi' iM-riiiii- 
lu-iit (Hiiiilfi of ]iit;iiii'ii1iuiim. Tliiva- wiitirKk kIiihiIiI tirot 
In* wiwlittl willi im itiitiM-|>lii- Htliiliim, nml »\x'n the fiitr, 
U> n\'«U\ ttUMfihtW )>i}piK'niAtiiiti of tlie mkiii, cnrr i^UniiliI 
)h' taktii tu pick out tin* siiiull inaN^f- of jHiwclor nilh ii 
Wf^llc or till- ^hnr)! jMtiiit of n l<'iH)ti>tiii' knife. The Mir- 
fiuf Mhoiikl then hv tlrcf^il will) luitir^'plic giiiizo or witJl 
lint Minviul with >in oinlmt'iit of liorii' ik'i^I or iin oinlnietit 
of ttrHtol, miiftiMin^ of hnlf :i iira<')ini or ii tlrachm of 
urii^iol to tin oni)ii> iif viiM'lin*-, tliix <In-N>(in)i; Itriti); covt-m] 
liv u ffw lavm of UiHiloriik* or Uinitcil nittoti, lieltl ia 
[iWv Ity a nilli-r bctiMkip-. 

(.ViiriMtoiiM or /ir'KMm iliHir from iinitiiimt wonmU in tlio 
liirl lluit (III- okin if not limki-ri, il)<«ii;)i in Mpili- of ihi^ 
fiK-t then- Miav t-xift vcrv vxti'iiNivc liwvnilion of |)h- f<uIi- 
i-iil;in<-oiii' tif«^ni«, luiiiuiiniiinl Ity mon- or Itrr, oxiniviiHi- 
lioii »r ItltHxl fnipi tJif iiijiiml vuM.'l. ^^'ll••^ mit m-viti- 
fiiitiij'h to ni)iiin> o|M-nilivi- trttitnH'nt, itH-y kUooI'I In' 
(IniMil l>\ ii|i|ilvint; over tlw-rn u'va-nil titvcfM of lini mlii- 
niliit wirli Itnil-wnli-r iiikI litiulRUiirn, nii'l over lliit itti'»«- 
inj; ti [tlncol ii litycr of wiixol iiiti»T or nibln-r li-^iit-, iiik) 
tlir iln-HMii^ i* »ii-nni) l>y ii r>>lli'r )Kir»<Up-. 

A wiUilioii w'hirli I find mm>l wtiHJm'liirr in llnMlnvw- 
iitj; of iTiulilnion" U an tollowit : 



AmmpnU cfakirlil) 
Tr. urU I 
AkofiotLi r 
A<|a<>' 



IP*. IK. 




390 



KIKOR SUUOSRY. 



I 



Scvi-ml Inycm of lint rviliimCtl wilh tlii» soliitioii nre 
Itiid over tlir ii>iiliw<i ti.*»in>. ami »n- f-ovcrttl witli waxed 
imiHT, iiilitl oilk, iir riil>lx-r Iiimh-. 

r<xlrni<ivi- mlUfrtioii*' t>l' bl'fMl folUiwili); i-uiitiiMoiiii often 
n-iimiii til llic timiim lor Minit' linM', btit iisiiolly un; nl*- 
«>rUil. tfllii" n-Kiill il<«i* ii"1 fiillow.uriiri wljisci-wlortHs, 
rhi- liliKil iir [HI* nlioiilil In- rfinovwl t»y Hi'iiinitiuti or hy 
iiK-ifiuii nitlt full iiittim-|>1tr pn-cwitiviiK 

TIk' ilivrwiiiKH fiDployefl in lhi> trpntiiH-tit ol' liiiniK nnd 
Mulilii iirt' "imitur. af tlu- injiin' to the iissuee) it- itnu-tii'allv 
lilt' ^iiiu' ill Ix.ilh rInMio nl iiijtirifs. Su|K'l'tii~iul liiiriii- or 
HTiliU, in \tliii-li tlie efTci-t of tiio heal h^Mi only exti-iidcd 
to llic !iii|H.Tli<-uil layer of ihi- i^kin, may l>c Irvuttxl l>r tliv 
aj)|>licalioii of Itiil KutiinlMl with a iMliitioii of (urlmiiate 
ol NitUtini, a drwimi to an oiim* of water ; this dre*wing 
ni|iiilly rcliovt's ihv |Kiin, ami ik » Kiti.>fai.tory applii-ation 
ill tliis varietv of ImniH and -iiidd^. In (xib»- in wbicli 
tho ffltvlf of linil have cxtciiditl to tlif dci')i«.>r lissiK^, the 
iitVii*tr_-i| Hiirfaav nmy Ik* dn^^Mil with earroR oit, which is 
)tn-iiiiml by rtiltliini; together limr-wiitor aiid lim^t^il oil 
iinlil a tliick rniiinv (lOHtc ruiulbt; linl is Mtnmliil wilh 
thi» niixliin- iind laid over tin- Mirfan>of tin- Itiirn or iKiild. 
The dn-^ioK IK II iitniWlahh- one to tht: jjiiliiiil, hut mutn 
iNtiiinct* ollVitHivi-, and for ihti muwii n^|tiini« fn^jiivnt 
renewal. 

rill- iliHiulviiiitairc niH with in itH- anttM-iriii- mcllioil of 
dr>-r«iri|; hiirnn iukI wiihln ii> tlu- ftu-t thai thi- mw KiirfiMV 
prm-nlcd oflVro tlit- nuiHt fnvondih- condition- for lh<- »!>• 
»or|tlton of the antiM-|tiir nul>Mnno>-n cntiiloyi! in tin- dn-w- 
iiilpi, Mitd liir llii" miwin ihr iim- of hii-lilorid'- «f tmnntry, 

iiirUilir lU'iiL nii<) i<Hhiloriii i" not to In- miiii mhtl in 

hiinif) or MuhL> involving a larf^c i-xl4-nt of onrliKV. on 
Quiiimt of till- liixii- »rni|iti>nw whidt iimy Dfiiilt from tlwir 
i-mnloyiiK-tit. 

A mi-nt hnni or oivld, l>y nniMin of the h«iit iin)>hirit 
in lt« |tru(hu-linii, i» jinu-limlly iin aM'))ti<- woiiod, autl 



BID80BS8. 



S9l 



niiiv W iltyKfird bv covcriii); it wUli Inirii' arid oinliiM'iit, 
niul |iliii-iii|^ (ivvr llii« u iiiiiiiIht of Invrrs of Ixtmiei) or 
Nilirvlalctl iiitlon, mid hoidin;; the dnwingH in |MHitioii 
bv a rullor luinduj^. 

If, however, a fiiil aiitisvplie ilreeeiiie ic eniploml, tl»0 
iiijiir«'d Hiirfiuf slioiild first \iv irrit^ntcd with a I : fil) mr- 
Ixdio or 1 : 4(HNi bidiloriilt' H'liiiioii niid rliiii <tivcm) tvitli 
jirotivlivc or niMier tisMH- U'liii-)i li:i^ iMt'ii I'ti-riltxnl, iitid 
ov<T tliiii !i (ir«*init of ctirboliwd or bidiloridt giiiir^: uiid 
bi<-hb>ridi- t-ottoii itlitMild Iw api>lit<d. 

AriH.ti)), m» n milwtitiitc for lodofimn, nmy be 4tn|)1ovod 
ill tlK> drvMiin)! of biirnf or kvIiIs, liciii^ cillH-r diiKl>tl 
ovt-r lite Miirfncv or Titiol in ibe form of nn •liiitniciil, mid 
over ibis a|i|>Ii<:ition ftboiild tie ]ilu(x-d ii fi'w luvri>i of 
Ixtrale^t or sillievlatwl eottoD, 

W)m-ii bIcltH an- iircseot ujMin the Hurfaee of the burn or 
iMiibl, ihey should] [h> niH-tHtl to allow the eenini to rwtiiH*. 
If Hii)i|iiinit!oi) .x-nirw or llw liyjiiifti I>wnm<? u«vm(*ed )>y 
nttHon of rhi- ^'viTilv of the iiijon", the Mirfw-e of the Inirii 
iiiiiv lie ivtfilie)! w'tlh a I :Wl inrlnilie soUitton or I : IIHK) 
liteliloridi' Hilulion and the rome dressiiij^ rihonli) tlieii Ih' 
B]ii>lii'<d. 

rh4> iiU-i-r!< n-Miiltinf; from tlie iv))aralinn of iIh' Hnul 
tiwiien should Im- toni-ltctl with ii M^ilnlioit of iiilmli' of 
silver, four Kniiti^ lo the oimee of wiiler, awl dn-iww'd with 
litil Mircm) uitli oiiitnitut of Uirie lu-iil or arih-tol. In llw 
(In^vtiii^ of exieiixive Imriis or waldf of the iiwk, fmv, ami 
nffion of ibi' joints, llie )M>«4iliiliiy of Mrioii.-t defunnily 
flMin eontmr-tiod of tlH< litMh^H in ltniliii|{ i^liutild not \v 
\"*i r-iubt of, ami p>»<itiou, ^jilints awl liamlai^es )JionhI tx' 
cmidoycd lo |in'vent, tu^ far lu^ [KHMtible, tbir- iiiin|>litiition, 

Hkimikiv. 

TIkm- HircM iiMiiilly ««(iir ovrr the Mrruni or htjM lit 
Iwlii'niM wlht an< cnnflneil to Uv) for u ciiiwitlemliU' time, 
as ihe n¥iitl ofa loiin-t-onlinilMl |in^wiitx'. or in llnute cfWeM 
when- ibi- vitjil jwiwemnn-deiirenw?*! by adyiiflinirdiMiiMK, 
am) iin.' iiImi a Irtiinent awl tniiiblenonie cxnitplimliun ill 




HIHOR SUKOKRY. 



ei|)iiiiil iiijiirirw. Tlifir liirmulinn mm' In- pn-vi-iitHl iit 
mniiv tiw^f liv llir «wc tif eiir-<-ii.'>lii<>iin nr of » wuttr iniil- 
trcw, mid liv ViTtiinti; tin' iwrt" fxim*-*! to iin-wiirc mTiipu- 
IiiiihU crifuii Niiit rr(H|m-iillv Imtlitiig ilicm willi ntiinnlflliiii; 
Intiotii', HlKrli iiM tiliiiliiil. olivi- nil iiikI iiliiitiol niiiiil ]iiirii<, 
<ir "mil liiiiriii'nt. 'VUi- |nir(n :<lioiilil hImi in- itr<iU-('ti'<) Ironi 

Iin-fviin' liv iIk' nji|ili<-uti<ii) til' iiillii-Hivr itlifti'l', or, Ntilt 
K-tlcr, n<ici|i (ilnMcr '■jiri'itil ii|h>ii rlmiiiiiix. Wlicii ii IxtU 
Min> liiM ui-iitiilly liiriiiti), :iiiil in ninnv tiL-vv iin titrnuiliiiii 
Ik v<>ry rniiitl nut) the i>I<»ik)i will Iw rmint) to involv<- ■ 
IntlP' Niirfiwr nf tin- "kin ovi-r tin- hacniin, nml In i-xU-ikI 
liitwn l» tlio Imii)i>, vt- Imvv \itxf--M n very M-ri<>ii« iiitiijili- 
iidiiii), 1111(1 iiiii' wliiWi rt'i|iiinf iihmI <'iir<'l'iii Iniittiu-til, 

Thi' itrcKiiii^ nf ti iHilHin- U'ton- |(i4' Hi-iiiirtilioi) of iln' 
"liHigli (iitLHtHtn ill n'lii-vii)^ till- |Miii frniii pri-wuin: bv (In* 
iiMi- of mi It i r I -I ■I'll i I III ])liK'<iI iiiidiT tli<- Inilivolo, iiii'l iJto 
ii)i|iliiiitiuii of H f<-niK-tiliii^ i>uiilltcr unlit iIh' hloiiKli )uut 
H-|Kir»l('il. Wlii-ii rlic xloii^fi li:i» )icn>m>- lU-tiK-liitl ilic 
iiloT niiiiiiniiifr xlumM Iw wfll h:i»IkiI m iili ii (KirUilii' or 
l>lr)ilorii]«- Milillion niwl tin- j;mniil:irioiiK >.|ii>iit<) U' toiK-litil 
Milli II -Wniiii wliitioii ot iiilntU- of filvcr; ntnl n-piiii 
ivnilc, itMliilonn, iiriMol, or Imrir w-iil oititimiit, HpntHl 
ii|ioii liiil, oliiiiihl In' ii]t[>li<-<l to till- fiiHiioi- of the iilivr, 
iiimI It pitsv of luijr I'lifti-m liltlr Inip'r lliiin tlic ulivr 
kIiooM Ih- )i1iii'i<I ovi-r iIiik <ln->v>iii^ nml 1m'1<1 in ntnii- liv 
liroml "Ini" <>f itiUitvivi' |iIii.'I"T, Tliin iln-jv-iof; -imulcl In- 
rt-iii-wn! <-v<Tv iliiv or fvtn,- ollit-r ilnv, lui'l iiiiiiii« olioiilil 
U-]itlo|ilt'4l to iinitii-l tlw |wrl^ from fiirtlxr |>n?4-iin-. iiixl 
tlH't-niiotitMtioiial itiiiciiiioii of tlu' |Mili('i)t dliotild Im' im- 
proviil l>v till- luliiiiiii-lnttioii of ii nutntioiiH dii-i, (onit^, 
niifi •limtilitiiK Till' iijipli'ittion of tin- pilviuiii- iiirnnl 
hao Ihio <-iii|<Ii<.vhI with p-xl n-Kiillo to |in)iiioli- lJ)i- Itml- 
itijc of lilt- nl'i-r ill olMliotili- anvn. 



St'KAlHH. 

Siiniiii^ of ioiiild ttiMn t«i«ilH or oIIiit i-xlmuil lioli-iiri' 
rcMiiltioK ill III*' Mln-ti'liin|i; or hoTTiitioi) of ilu- liptnii-ntn 
ur iiijiirit.li whii-li ntiuin.' mn-fiil tlntMUg. 



SPRAtVB. 



£93 



Hpniiii!) mav Im> first treated Itv !)»<• n[Hili<nt)<Mi of «ntd- 
or lntl-«'«lcr (frt-^iiijp^ litra lt'wlimirs,or by tlit>a])|>lM-alion 
iiC liiui-wittiT :ititi laii<laiiiini, the juiiil iH'iii;; kopt at rfi^ 
Itv iIh' um- <>I* a ^|>liiil or Itv titiifiDin^ ilio iiniioiit in tlu' 
lVi-iimlH>nt |H<Hiiiri- in llic csm- nt' •'[traiiLi ul llic joints iil' 
llip liiwtT pxlremitH-n, 

Aflcp a fi'w tlavfi' ii«e nf tlie UimI-wtiUt ami lamUiniim 
ilnssin); ilic KU'dling iisuiillv siilifiicke nixl tliv joint may 
Ik' liMtl liv llii- iimilii-ntinii ol n mniilihil )^>a)t-|iln<-t<T Hjilint 
or (i-ll -tiilini liclxt in |il:u-«> b v n (innly aii|ilitil n>I|rr Imixl- 
iigt>, wliirh T^hiiiil'l Ik' worn for a vtm-k or ten tliiyii; in 
onlinarv i^n^n afier thin tim« itic ^iilint may be reimivrtl 
mid iho (lalieiit ribnitld be Pi)c<>iira)^tl to une ihv joint. In 
niH« of FpvcTv )'jtmin'>. on tlie other hand, ttie |tuin and 
KWi'lltn); |N>i>L>4t lor somi' lime, and here the fixation id' 
the joiiil by it i*">nii |ilaM<T. or U-llvr by n idi»9t<'r-H>r-l*firU 
UtiKl.-ip'. will Ih- loniid UHi-fiil r>ir » It-w wtt'k.'*. If n|Hin 
the n'movitl ul' tbi^ dn-x^in); llic- iKtiis ni>- ^lill )>aiiiliil 
and HMolli-ii, till- Awtdleti ItHNHt* nhoidd b>- |«iiil<-d Mitti 
tinrtiin* of iiwlim' ; or th<- iiti-tlMMl ol' :iii[dyin)j: lim-iuiv nf 
iiHlinc n-i-oinniriiihtl by Mr. •loninn, llmt !k, iIic :i|>|die;i- 
tion III' the ifiliiic ill !i bivmil UiihI »i>>iii)d iind itol ovrr 
llii' .uwolli-n li>«>iKti, riiiiv 1n> eiuiiloviil. Th<\joinl F-bmild 
n«'xt In- mintHimbvl by n [tUtt- of lint (ijirfwd willi iin 
oiiitnieiit iiini[KtMit oi'eiinal juiPth of oiiilim^it of nieniiry 
nitd iiiitlnicnt of lielbuloniut, iind n moulded A(n|>-|dii»^li-r 
i>|iliiil iH-iii;* llMit! (o tilt' join), it i." bcbl in plmv by n 
Urmly »|i|i1i<il lentitiip-. Ibis vsill In- limml a nuM witiH- 
Gwiorv drn^Hiiit; in (be triiitinriil of xjiniinM aDi-r ihvy 
bnvi' jui.'v^tl llu'tr aiiile pvIiiih'- 'I'hv dri'^iiijf ix n-nioviil 
III inUTvuln of llini' or four davH, tlir joint in KiMinpil iitf 
uiih nleidiol, and u siinilur dnwiii); is n^imilitol ; and iblH 
nifthtnl of dn-wiiit; miiv have to Im' continiinl lor )«iini- 
w'ti'kff, but till- n>iillfi olitjiincl by iif i-oniinnoiix iiw im> 
i>l^<-n nitnl •vilihf:ii-(>irv. An oinlniritl of ii-h(hvol oni' juirt 
t^i binoliii ihfii' |i»rtr- niav iiIhh In- ti^il in (hi- F«ni»i- manner 
iij> tile oinlini-i)l of I H-l bull limit and iinix'iirv uitb ^iunI n-- 
Miltn ill tJic trentmi-nl of iIh-m- injitrim. 'flK' <-ni|doyiue»t 



HINOB 8UROKRY. 

of |inwim> in thv lnw1(ii<-ii( ol' )<{>r»tii><, hy inumit u( Hlnij^ 
piiij;, iit ulwi nonicliiiH-H ailv»n1iip-<>iti>. 

In tk- clir»iii<' HUi{!v'»f n >i)iniin,»niT iill <lm««ingH liiivc 
iMt'ii ri'riiovu). itir ■lurtliiHliiiil iini' of twiwvt^r 'm nflrn iiiiinl 
lM-i)t')i<<iiil ; mill ttfivr tlu- juiri'* Kiiw Imi-ii tlmrcxi^lily 
ittiiiiiixitiit'il II tliiiin*'! iMiiiliifii.- laliiiitlil L' iiiipliol wliii-ii, 
l>y \t» duMJcily, pvi^ u tx'rtuiii uukmhiI nf miiiikxI 1» ihc 
)«rt«. 

Sprain-fraciHrr. — Ut>>1«r tllU naim' Mr. <^ll(iuh-r luw 
()<wnlMHl nil injury whiHi nttutiito iti thr M.>|Niniiion of ii 
li^iiii-ii( iir (cnttiiM rnini ilK ixiiiil of iiivniini, witli tin- 
lU'tni'liinriil of n lliih >lii'll iif Ihiiii- ; thin injury i.i it|it lo 
iMiiir iiUmiI till- iiiikic-, Univ, cIImiw-, nnd »ri'<l-ji>inti', nml 
tliv Innlinvtit ii* ihc muw im llmt of an onliniiry fraoOire 
ill Uic Miin<> l(M-nli(y, Tliix iujiirt' i^ |in>lHit>1y miirli more 
mmnion ilmn ii« ffi-neniUy imp|HMitl in mniiivliim vntli 
)t])niiuN of tltc jniiiitt, niul \», I tliink, in nmny nisiw the 
ivitM- iif tlu- tiinly n-nlonition of the finxlion of Hiiniiiiiil 
joiiitK, tlii" injury In-in^ ovcrlotikiil iukI iIic injnry Mtnjily 
iM-iii)! inttl'-aln.-iii )>))nitn,itml lli<' |Kitii-ii( U-in^ <-tM^iiir»tn->l 
til u-o- lli<- mrl bcfunt iiw \iaum of Uio Iniih' Iuw Ijvcu 
aniiin|ilin|i(y]. 

.STnirNii 11/ MuWai itml Jtueiti \iiry!ntc in ni-vrrily fh»m 
iiini))li- r<(rct<-liiti}; of tin- \\\>r*-^ to nliN>Ui(r' ni|tliir<- nn- 
Iniitii) l>y |iiiriiiii; itn- [nrli* iit nitl iitnl liy tli<- uitjitintlion 
of |in*«>iin' liy nifiiiin of ;iilli<viv(' Mra|i- or of u Uuxln^- ; 
in slmiiiH of ilif iniisi'tcn iinti fiM-iii of ilii* Ixu'k llx- iie<c nf 
Itnidil fttriiM of ii4llin<ivc ])ln.Hter, Mjiplii-d lun in ciiM-H of 
iVuttuR- ofthi- riln, will Ix- fmiiK) nitnt nnliNliiclitry.and in 
llic Inttlnitnl of tliiliitltT hi^i.'.-* of tin- injury tin- »'nijiloy- 
im-iil of inHMiiLKi- Mill oHiu U* folloHitl liy ^nkI n^nltn. 



TrMitMOtomy. 



Tbiii o[irniti(Mi oniouiu in dividiHK tlir ti<B>ii«« over llin 
Inu-tiiti in rW inoium liin- of tlu' m*'k , niul nllfr lltr- trnt-tMit 
linn Ihi'ii t'^|Mi>Ntl it IN o|H'n<<>l I'V tliviiliii^ itvo i^r llirvv of 
tlic trndHiil rinK<*. 



TRAOHKOTOHT. 



swi 



Till' ii|H'Riti<m of tmHieotomv mav lie mjiiirtHl In n-lN-vii 
tlx- iK'fliKHxa (le[H>n(lt>nt ii|«>ii infiuliraiioiiM nr diplilhtritio 
' Urviiinli)*. grouths in ilie Inrynx or inH-lii^, ktomiIi!^ fx- 
t<-niu] til tlits4- oiTpiiin i-aiiMii;: [m-.-wiiri' ii]"iin iKmii, (wltiiia 
III' 11m* mtiiHm)* mi-mbrmii' nl' the lurviix ur (nn-lii-a I'nmt 
inD;iiiiiiiiiliiiii from litirn- nr si-nld-i, nr tnnii th<- inlialalinn 
(if trritutintc piM-a nr tlic- wwaDnwitijt of (iirni»*ivi' litgiiids. 
TIh- ojM'nitiiHi may also be r«iuim) fnr lh« mmn'al i>f 
fim'i;;ti iMxlieti from llii> lamix, tradira, or fWmi (he 
hroiit-tii. aw well its for iho wlivfof llu- dyH|>uo"n lUic to tliPir 
jnw<-inv, and il i» iiIho nyjiiinxl in i-asn* of fnu-lim- or 
ijuvnilitiii of tlu- Inni'nx or tr:i<-)u-ii, and o(«ti»iirtniilly in 
i-OMv of ■>|ui?<ni of tlic irlotli", aiwl in catv-a of );ItiMiiti)i, to 
ovi-rtiinw' tlw nipchaniral olwtrnrtiuii nliidi |>rc\'eul8 the 
vntraiKv of air into ilie air-paj^ai^i). 

'IIh' niM- with wliii'li tlio o]>pralif)n ic ijcrformctl vnri«* 
ijim-ti ill ilitfi'i-i-iit i-:t.4i-F>; it iH, an II rule, a niiiili »iin|ili-r 
o|M'niiiiiit til iMliilti« lliiiii in childn-n. In itic latirr hiIi- 
jii-i> till- .-liorc iH^w of till- iMvk, tlu' n'Intivfly ^niiltT wiw 
of llti- ihvMid ^IhihI iini) llio iHi>u<ihlf |irf!4i'nr>- of tti4> 
tliytiiiH IhnIv, till- linnl vaM-iilnrity of thi^ [Kir1», and llir 
iiUimliim^ of ndi|ioi-<- liiriUf, n-t»(l<T tlic inuhoa iliRii-nlt to 
i-\itoM- mid <))ii>n, 

I'ml'T trrliiin t-imininliimvA tlie ojwmtion iimy Ix- |t«T- 
loniiii) with viTV (I'w iitHiriinii'nlii; Iml if llir Htirm-on liiw 
tlic olioi<v tu' will find it convcniitit to liav<- at liawl two 
ttmall Miiljii-Is.oilt: nltorl griMivitl iliniHor, a t«iia«'iiliint, lv» 

Fiii. ». 




auUhv'i imfaoumf lUractof 



aiiiiiririni nfi-dW wIih-Ii niav In- »fn\ u» n>lnu-(ora, ow (lair 
of iirtcri' fiirxv]**, tin>niiir<lali(' loni'|w, two jwiro of disM<i-t- 
loni-jw, u [Kiir of wiwtont, a ii|iur)>-jHiinlf<l Icuotonif, ii 
of tiw'liml fonv^ a tmolKail uilator, tnu-lu'ototny 



I Mir 



296 



HIKOR StTROKRT. 



liiU-.', InjN-M, lipitiin-H, ■jwilip*, II llr\il(li' nitliclrr, illi<l 
tiiilli<'i>. 'I'Ih- dirfctor hIukiIiI \k dliort ; ilw iinliiuiry 
^Hivitl ilin-tliir in umi ItHig b> iwc uilli r<ilii>lnrli(>ii in nprr- 
iiriii): u)ii>it tlx- Nlturt iiivkx of chiMn-ii ; Mittmt I iinvf liwl 
iiiikIo h Hliiirtvr mill ruiiiit'wiinl linuuliT <m<-. wliiHi litw ii 
Ix-vclltil 4-xlr<-tiiilv u')iii-li itllnWH it to Ih' jaiiw^l will) i-nw 
U'tHi-t-ii llic ttiHi-rt'in titvcrs of ilm ti:«*iir. ( V\^. '^)T.) 

IJinaitMittir /'irrrfui iiri- iilwi of frti«I line lit tiinlrotiin(5 
lM-iiiorr)iitp' ihiriiif; tin- oin-nilion in iiwc of ilu- iliviwui of 
x-^ftM-lx wliti-li Mill] fni'lv, wIh-ii tin- ojHTiilor from tJic 
iii^i-iii'V of tlic ttv- ()iM-< not lliiiik it jiHl)tiiilil<> lo li^ninin' 
llii'ia at tli<- liiiK- iif i)i(-ir ilivi>ioii, Tlu-v iimv iiImi Im' 
<tii)il<ivc<) iiiiiti r >iiiiil]ir i-in-tiiiinliiiiii!- to •')niii|> ihi' iMliinim 
of the lliyroiil ifliiiut on rilltir "iilc of the tnidH-ii ivlicii it 
IxTiifiift* ■»'<■(■»«» rv to <livi<lc it lo cxtxiM' itic inu-hi-ii. 

A HlMr|K)Kiii)litl |i-i)olotii<- ii« till* tiiKlnimciit I prcfi-r t(i 
i*tii|ilo\ in (>|H-iiiiit; lli<- lnii'l)>«, 11.1 iIa t^mqi |hi!iiI cnnlilt's 
it (o ln' iiixily rlini-t into ilii' imi'lu-ii, iiiii) il» tliort ciiltin^ 
f-iirftiiv iiitil tfir mirniMiit'HM of llo' Mmir oliw-iin' ll" Itlllf- 
lln |H>?«>il>Il- llx' llDi' of illi'i'<ioll lliul llllln I'lllltllo tlic o|M-ni- 

Uir lu MX- rxiK-lly uIm'Tc- liu in mtliiij;. 



ruan. 



nu. a*. 




OoMlarKrtV tnrltMl OIUM. 




1'* Mrl>Ml 4ltuui, 



ThKhmt tlihlon uf vxrioiid kiiiil" apt- i-tn|»Io_viil, IhH (he 
(n«Ht Hilittliictorv tnu-litiil tiiliitor wliii-li I Iwvi' iiii|)loyiHl 
IN llnit of Coliliitic-ltinl {I'V- -'*")• whii-ti i» a M'lf-rrtniii- 
inji iii»lriiii)rnl : !»•' )iliiil>-> tin- -liiiiHtl ilin>tiK)> I'n' Imi-Ki-nl 
inriHioii mill un- llirii ivxiNimlol l)\ toniiiit; lliv wn'W to 
wUivh lli4>v nn- nllai'linl. 




TRAOHBOTOMY. 



2»7 



Triijwiui's tRit'luiil (liliiliir, (lie hladps of wliicli ari- 
itilriM|iu\il tliniii;:)i tlic )ii('i.ii(m in llic irai^hi-n ami nri' 
I'XjuiiKlcd bv liriiiyintf ti)}^-tli<T tlie luimllfN, isalK> a gatia- 
liu-tiiry iiiMninu'itt (I'^i^. *-^H')i '■*>' >^ "*>' ^ iii=<'riil as the 
tnwlutil ililiiUir |irr-vii>ii.4|y iiiciitinrK^l, an it ivM to In- 
n-tniixil ill |Miniliiiii )iy iIk- IihiiiI. TricIk^I dilalum nmv 
U' tiiiiinivisT'il f'i>>ii) U-iil li:iii']iiii.-< or iiiiHtii nl' win-, wliii-li 
will oHi-n i4-r\'i< » itM'tiil |mr]ini^ wlwrc onlinun' dilnlorM 
niiinol Im' iibtiiiiiitl. 

It ill sImi w)-ll u» )tav(- a) IiuimI .1 min)lM>r nf ]iliiihU' 
fwilI»T[« t<» !■■ ii-sfj ii) dfaiiin;; iIh- IracliMi or luryiix ^l" 
nuii-iH or ini-ii)lir»nc after it Juin Ixi'ii o)M-nttl. ami l>j* llw-ir 
ii-«- llii.'i olijifi can W iK-t-omplifilH^I with litllt* riak of 
injure' to the niiicxiiM nictiibraiio. 

Imeheal forerpi, whicb are <-(iiiHtriKlnl k!Ui a tloiiltic 
Afirin)f and t-nr\'<-<l blitib';) an- hImi ii^'fiil in n-tmtvii]}r u>om- 
Kiimc t>r fon-i^n Ifnliis fnmt llii- Innn.t iiUivr (lio w<mml 
or from lite InwlM-ii Iwlou- ibc imrliral iiit-Uion, ( Fi^. 210.) 

rill. ii«i 




IMrkcal ten*!*. 



Tttir/uritiimji-lHtm of viinoiiN iilinjH-H itri' iiiuili' of filvt-r, 
abimiiiiiiiii, bard ami »oft nibU'r, but tbi- tiiU' M'hit-li I 
lliink i- llii- imwi Mili-ftu-lorv for p'ii<-ntl iiwi- ii* « "ilvcr 
HiinrIrr-*-iri'Ir ioIh- wiib n inovablr ntibir {Vig,. '21 1), ami 
|iri>vicl<i] wiib n ti'tii-xinilitl [fiiitlf-. {^1^. 2i)i.) .\ poNi 
liiu-lii'otoiny-iiilH' i^ mil' wiii<'ii intliiid tin- bimt [xiwiliK- 
iiijurv ii|)i>u tilt- iiiiK-oiio mi-tnbram* of iIh- traclKii, and I0 
iiiMtn- lilt" o(>}(in llir juiri of tin' tnln- nilliin iIh- (rat-lM-n 
kIiooIiI lii- I'XiMtlv ill iix axi-« ami it-i t'nv ixtn-niity ■lionld 
Id- iTi)>:il>l(- of nf liitli- iiiovi'nii-iil jp- ("i-wilib-. Ttir tnu-lH— 
oUHny-4iiU> i- brill in (Mwilion ui\fr Mag iiiinHlm\'d by 



HinOR SUROBRT. 



mtmiK oftapm nttuHinl tn the i^liiclil iif tJic IiiIn- iind licil 
unmml (he neck. 



Fta-ni. 



Flo S£ 





SIlTcr li»eli«oMmr4iik». 



latvn inrhrvtmnrniha with 



Potititm of Patiml/or Titichfulomii. 

TIh' liMt iMNtitiiHi in wliiHi hi \*Uuv rlii' iNituiii fur tJiiK 
• i|N-mlii>n in llul uliirlt l>rinipi the iiii'k iiil4> (lie tmiiUvt 
|ir»iuiiHi>tf, mill tliin <iiii U-^r U- •iliiaint-al liv liiyiiiK (Ik> 
|NilH-iit iiiNiti liU tjnck ii|M>D II Itriii luhlv nnil |ii«i-iDf; uiwlt-r 
iJh- .hIkiiiuIits a miin<) i-iisliion ; or an fiii|ity n'im^i»U|p, 
or B nilliT-jiii) wnijiiKil tii lnut-ls Mill EiiifMcr tlic MiitM< 
xir|MiM'. il' nil iiim-'ltii-lic t* nitl iihiI llir unii~ ■lioiiM 



M- lii'lil I>v 111) ii>^i>liuit. ulti<-li i" U-ttrr limn Minriii^ tlicrn 
liy II liiiKlcr TiifU'iKil iinmiwl tin* diivt, wliii-h rmtridit 
mtji(raii>r>' iitovcriii.-n1<>. 

P»e tff an AnaMtth In Tfachrotow}/. 

Jin u rule, 1 think il i# U-iriT iiol In Milininisti-r iiii uuifr 
Iht'tii' in |NTriinniiiti tliis (•jN-rali-in, im liiilc pii) i>i i-x|io- 
rii-noHl, in ■iimt' in ivliii'li llif ■Ivi'i)!!')-)! ix m-ll iimrki'd, 
iilliT (lie in<-inii>n in lli" Kkiii )i:i» Ut-n niiulc, iiii'l I hav« 
wvn lilt' <]_v>>|>ntru uliifli wnn wi'll iiuirk<'<l iif(i>n- lltP 
um iir (lie wiirbtlti'tic niitklcnly l^xxum' ett nliimiin|i; lltnl 




OPKRATION OP TRACHEOTOHY. 



S99 



I 



Uip trw-lK-a batl to lie npciieil Marv it wiw tlioponghlv t*x- 
tK)M>(I. wliii'li \^ a pnMvcUiiv nlwavn nttciulccl with risk. 
B<i Mn>ii)c in mv Mtnvictioti ihal iite risltK nf the o|HTatiim 
urp luDcli inmca^ieil bv thv t-mployiiM-nt nf an aniwillM-tio 
that in later v«wrH I liavi- iilniHioncii) its use. 



Ol'KitATKiN <»' Tu-Krll nmiu Y, 

TIm' tnu'hcH may he (iih-iki) hImivi- iIil* istJiinuK itf tlic 
tliyniiil )!Uiut\ or Im-Iow it, iiikI tliiw o|KTntiiMii' fHixliditr 
n-MM-<-livi-!y ilu- Mi/h awl /"w "|R'niti"lw. 

Tlif AiV/A »|MTiitiiiii iif m-iii-raliy wlii-liil. Iniiiiim- ill tliu 
[Miitit the tnu-hni Ik tiion- MiiH-rfit-ta) and ia mon- t-iuily 
lAiMiMi], wlivntitK ill iIh' toic ii|M;nition the Inu'ltiti i<> mure 
iliuii-iilt til i'X]>ni!i(' liv rciiM>ii 111" ilf n-Iutivoly umih-i- (l<'|itli, 
tlu- laivi- >im- uiiil hiimlH-r "f tlit.- \viii<(, an*) ili^ |)nixiiiiity 
to IIm' \ikt^ artemi tniuki'. 



>'iu. ;'ii. 




iTiuikn ill |«i 



tnctarMuu) 



The [Nitictit Iviriir |iliti>'<1 in )>iHiliim, niul ttn' U^t inwi- 



.' 

I Itxii i-< NVimil liv iitiii-iii); ii liriii |i(iil iiinlcr tli>- iilioiimi-rM 

I ( Ki)!. 21:)), nr till' luiwl iiuiy lie ilni|i|>(^l ovr t)u< >i\}!r iif 

I iW tabli', ihv ^lijiH-l L-iiiji in mvun- a fnt- i>\)ti»«im- u( tlw 

I iitv'lt niul to n-mlrr t)ii- tnu-lKti hh ■ujHTlii-iiil hh laxwililis 



m» 



■lyoB •CBOIkY. 



Tbr npHTUor vtoml* ai Uw iw^ uT thr pairai ; 



■iliiio I jifrf'r. 1 



i«Biilii<a I jm-l'T. V rt ill roMrr fmai thtx [aHUt U> kivf > thr 
iiw-i»i»o> i-uwilv ifl itir mntcui ILtM- iit' the nrrk. The 
<j|«-nib>r nin!! nuk(« liiiu«i>)f fiuniliar wiUi the ImrfiKlfc* 
of ilir iw* -k ; liiratin^ Uh- (■Mtiim nf ibr erimUl ntHilajfe, 
hr niaLi-p nn iiM-ifniin tlir<>ii)!h lli'- -kin in tbr uolian linr 
iif l)ir 4Wi'k from mH- uuil a luilf tn Ih<> Iiirfii^ in liitjiUi, 
iIm' {■■•itiiiii iif tilt- rrHi)til r-irtila;:^' (■■itt)! tin- niirkllr 

IHitlit. llM*fi' IM n't <li^ulviuilik)5- in niukini; a liirj^i-r 
U<-i»i<in if m fritT rx[ii««iin' uf tin- (nrtM if n^jiiinii. 
Having ilivitltil llu' ■kilt, tlx- itft-nU-r witt ufb-u mt a 
Inr^ Vein lyint; in tW HiiiH-rficiiil frnx-ia — lii«' mtpfi^eial 
tinOrinr juipJiir ; t)ii* ■Ixmlil U- <lL-|ilHi-iii, unil tllP nwia 
(liviiti*) iiiHin rill- ilin^-tcir. 

Tlf ■iitp-oH oliimM krifi tiiM incininas olrii-lly i» llir 
HM^Iini) liiM- cf the nn'k, fur tliin !» tlx- lim- iifMifctv ; niul 
111- iJmtilil In' luirfnl, m tlir wiiuml ini-niM-M in rk-jilli, mil 
lii nmkf lite iiimi'Mio tm mIhti, mi tluit it lNi-imMi« fiuiiM'l- 
wltniHil. 

\Vtl(-n IIm- •l*i-)> lilM-in im fXlavWil il Kjlntlld lir liifkatl tl|> 

nii'l ilividifl ii|iiin tlic ilirtflur, nttil nny biri:i- vitiio in (In* 
line <if till- Hiiuml dliouM )«■ mn-fnllv liinjiliKxil, or, if lliii* 
!■ iintHiw>ililf, lliry >tiiMiM U- liinilc) "O vw-Ii niilf nut) 
lltr-ii ilividnl U-lwi-f-n tli<> It^lnnv. 

'Hii' n|H'r»li>f now limkH (iir tin- inl«-rmrM-iil»r ojwiv 
iNHHtfii tin- Htrnto-hyiiii iiikI tin- »tn-no-lhifruiil muJieifi, 
M'lticli niti |ii-ni*nilly U- fiiiiiKl nillioiil ilifTiiiilly, uixl ibv 
tiMiM-liw IIP' wtw tu-]i»r»t>il in l)ii.> liiii' miiIi llic li;inillc of 
iJir kiiifi- iir willi Uir ilinilur, uixl tlii.' inlhmtu of the fAv- 
rtil'l i/fiiiul will U< vxihinmI. Tlitt iuun-Uw tiliuiiM now Ih' 
Ill-Ill flKtilr liy n'tnu-torH iiIihtiI (»i riliii-r ttiih*. A iiitilitm 
li(-n- IL" to llu- iipM- >if n-lrvHur*' mulv wit In- iHit i>t' ]>Iji<v : 
l)ii- ii|ii'nili>r ■limilil ]iliiii< tlii-ni liiiiiHi-lf nitil iiIIum llii- 
nw-ip-tiiiil" to Imlil llit-tii. 1 kiuv iilnxw^t Iml u i-um- in 
wliii-li I liiiil Uh- trarliin t'X{i>H4il, iiiiil wliili- I litnm) 
■Mik' tu |ili-k ii|i II knifi- with wliu-li ti> it\K'ti il, nir imuHt- 
■itl, in n-[>liH-in|[ ii n-tnu-tur wliiWi Itml n)i[i|H>>l, im-ludtd 
IIh* nuivnlil'- (itii'lini in titi' K<^i^fi "' ''"■ nlnuf'T. (Hilling it 
bi uiit< xiilr itm) iiiin)ili'trly itliutlii))^ >ilV ni>)Mnitiiiu ; nlini 




p 



OfBBATIUN OF TRACUEOTOHT. 301 

1 ulloiuptnl to fiml the (nu'lita to ojicd it I (iiiiUl only fcvl 
lh« aiitrrior Mirliice of the vtrtt'lmt- at the lM>1t(>iii of llw 
u'oiirHl, and it was inily wlicD I a|>|>m-tatMl wlint liiu) 
<K«^^imxl, uu<i litled the ivtrarlor, alluwiii^c ilte Inu-hm lo 
spriuK IxK-k into its Dornial poeitidii, that I \vi\» rUW to 
opc-u it. Mr. I>urham ainl Mr. Marsh ii>eulioii Miiii(>vrha( 
Hiniilxr aunv in which tJif iracht-a an<i vensels wi-n- held 
■liitli- with n-tracluiv bv aK^intaiitii iiiilil the Mirj^tn luu] 
t-xrNiM'd tlie wnieal vertehrw, 

Thf ojK-ralor ahoiihl rarpfully explore the wotimt with 
the tiiiKvr. t" h«itc vjnautly the poeitioii of tlie Inu-hta, 
iiixl to iMvrtaiii, if ]iu»iible, tlie preseuw of any aiionm- 
loiiit nrtt'riw. 

The ihlhmui^ of the thyroid |;laiMl Ix-in^ exposeil, whiHi 
f^-ni-rutly (xviipieK n ixi^itioD over tl>e first three Irarhral 
ritipi ; tliitt k iiir^uillv lUirroiindcd bv a plexiiA of vriitH 
whii-h should be diHp*lam) with the ifireeior, or, if tJiii« u 
ini]>o>i!)ilile, they choidd lie ligated ou ea<'h side mid 
divide<l l)etweeu the lijjatureH. The thyroid iMbmim ia 
nest di-'piiu'c*! upward or downwiird, nt<(<iirtliii|r nn the 
etiiyeon di^ires |o open the tratlieu lieliiw or hImivi- thiii 
lwd_v. Thiii is often done withont diffietiltv, esiimiidiy ilx 
Upward ditutlueement ; hut when there !.•< (fifHi-nliy in tli»> 
puuriiifc it downu-ard, a proenlure m«>n)iiM^iM]<-d by K<mi- 
nuiv t>e einployiit, which coniii§tfi Jn aialciii;: a IniiiKvenv 
ineD^ion lu'row th*- crioiid itirtiliL^e to divide the hivi-r of 
fascia by whii-h iIh- i^thnHif i» Ixumd down ; a dinilor in 
(hen peus^il into thi*^ ineinion, and the iHihintiH i.-t p*nIJv 
iIvpn^eMl without dillieulty. 

liaviitK di«plHi<f<l (be t^hniiis of ttie thvmid f^aaA 
iipwiinl or dowiiwanl, the tRU'bea, yellowi-Ji-wbitf in 
ap|Miirun<v, rovere*! by the truelHiU ftmcm. i^hotild Im- ex- 
{HiMil : ihif Ikwin tlioiibl ne\t be tfaoroHKblv broken up 
with Ihi.- dint-lor or handh' of the knife wi lu- lo Imre lite 
iRU'lieit, and in <loin|; thi^ the o|HT.it'ir <iin fi-el it rrcpitntJ* 
Ulid4>r the Rn^-r fnim the suction of air drawn in with 
inn] lint ion. llavinK arrival at lh!s sliip? of the oiM^ra- 
linn ttH- o|iernlor tJiotthI examine tlte wound lo mv that it 
ift Cnv fntni heniiirrh:iK<- and he MlMMihl also ivpUer the 



SOS 



xivos arsasBT. 



tb» tnr^ca, (ir, !«■ tiir rsic «wr tw nr^^iM. W 
wi n J ibat hr (Vti vftn tbr tlSFfem ia s iiwmwI if |J^3 
lift«l)iiii)C ^iMiuli} natr. Tbr tnrhfm » aoo tsml wttb a 
teaamjaa. i n tra dwtw l nto it a Imlr to omr lidt iif tW 
aadiao liar; aa iaciM« k nil i iaat it villi a aamiK 
knif«- fptn Ivltnr apwsnl. rrrNu oof half to th w fca r thg. 
<if ui ioi^i ia ka^tb (l'1)t- -M). vaiv Iwia^ lafcra lu 

rn. Bi. 




•d' ttinl l)ii« tiiri>>ion i* ill the nirtljan liiu-, fnr if the 
trwlKii U' •i|ii-jtril Itv It Uili-rnl iwi«ii>ii llii* wimnd Am-* 
wit liml Ml (in>mi>t]_v nnil tltc trarhcotoiiiv-tiilio <Uh-» uoti 
fit well, iihd iln lowi-r cxtn-niity iitAV niiim- injurv lit thai 
mii<v>iin tnt-iiiIiniiM- iif the inM-lica. If (tiv uouimJ be al 
ilii'l' iiiK', nfii'T lixini; l)>i- irm-lKii willi l)i>- |i-ii»iiiliiiii the 
ii]N'rnliir nmy liO it •lihclilU l'h>ni it» I"I. tlifn-liy liriutfin^ 
It iiiiin- jinimiiiciidv into \iiw nnd iiiiikii))' il iiion' hiiikt- 
(it-iiil ill ttif wiriiiiil, lliitn rurilitoliiti; il^ ii|H'iiiii;:, Ao Mmu 
wt !>!<: iiK'i«i(>ii i* iiiaili* iiitit dip tntcttrn tliiTc in a iriioh of 
nir rniiii l)i<- wniinil in t\w trtu'lKii, titi\<il widi liloocl iir 
ni''iiil*r»iii- 1 ltii-1 hIiiiiiIiI )■<■ wi|if'<l nwnv nilh ii niHiti^r and 
n Inicllinit dilulur HliiitiM iii'.vl Ix- tiltnMliHiil nhil llir 
(nw-lHii »li«iild \w ■■li-unii ui' iii<-iiilimiM-, ii" it i» iirt>«iil in 



OrXRATION OF TRAOniOTOMY. 



303 



I 



till- rt-pion of tlic uoiiiiil, willi it fiiilliiT or willi fiinvjw, 
T)i(.- tradicutomy-inlH- i» lu-xc iiiinHlitctil hiiiI ii> m-^-iii-wI in 
|Ni!iiii»n liy tii(ww tied nrDiiml tlti* iMt'k. 

ir rcKpinitioM Itiui ittMil artificiiil n'^|tmi(ii>i) mIhiiiIiI I)p 
pi-wrlixi to or Uii- tw »f a IiiIh- :iittu-li<il i<i 3 Ullowi^, itr 
FillV »)>|i!tr»tiif, imtt titcm' <-(rnrl»i Klifktilil U- <i)ii(iiiiii-«) (i.r 
m k-jf^t linivii iiiiiinltv, for I )iitv<- xtt'ii ivMiiM'iinliiu) tiiki' 
platv ill |Miti4-iit« M'liu won- n]iinirviitly thiiil hy n |icr«ii4«iil 
fiDiiloyiiiciil uf nrtitidiil r<i*|iiraliiiii. 

Tin- rarr of tkf IrncA'tilomy tnlif in U Ituit1i*r of SoniP 
iiiijMirtiiiMviiftiTitj' iiiinHliirlioii: (IiciiutcrtiilH' kIhhiIiI Ik* 
rt'iiiovcil itl iJnTl itiliTVnIw, miiaI)'')) iiml njiliuiii, iiikI if the 
oiHTnlioii liux Imvii (itiiK- fur iiii iiillniiiiiiiilon' iiiiiilttion of 
tlif liifyiix nr inu'licu 11 i»nii>tt-iw'<l ti^atiH-r nlioiild ww- 
wonilly br ]i<m«-<] iliniii^h l\tv titlw into tin' tnirhtw to with- 
draw any nmc-iis or nifiiilirum- which U )>niH-nt. In <ii^'H 
ttf L'TTiujiaflrr trurhcotiitiiy the ii>«' of » i«|iRiy <«f elcaiii or of 
a s|»ray wniiKJuwi of 

<'*rh(inai0 of wxla 3<! '** 3 U'*' 

tilvotrin 'sy- 

wupf r3»j. 

n|i|ilic<] liy ni(«n* of a ^^iinnt atoniiwr, th*- i-iinty Im->ii|> 
iliniliit over th<- o|H'i)inK of ttn- tiilx-, will In- loinid iiiuNt 
-Mtlstucliiry ii) M>ni-iiiiix ihc<lin'linr){i«aitil llins Incililiiling 
thi'ir cxfinliioti through tin' IiiIm-. 

'I1ir tni<-li4Hit'>mv-ttil)c in mumllr xUdw^h] to n-uintii in 
till- tn>i-h(4i from livf to ten daVH; its |HTiniim-iit n*ntiivnl 
'w iii(li<iiti-d ti^ MMin nii thf [intirnt U nlilc to hri'nlhi' lJin>ii)!h 
th<- larynx with lli<- mmnd in tlM' (ni<-)H-» diM'tl ; itM »m> 
may In- n^|iitni1 lor a liiii)ci<r tini*'. Iitir am MMin nn thv in- 
diiiition lor tti' jin^^mv Int^ d!Ni)i|unnil the nH>nt>r it U 
rr-ntovitl the l>rtt>T, liir it.i urtM-iui- ntnirliiiM-A M-ti> n|tn 
tr>>nld*M>nif irw-hi'ilui. Alter its n-inovul thr ntoitlH] 
ni)>Hlly liiniiHiicn in mki; tlic hiulint; taking [tin"*- l>v ^ran- 
iilation and (imlnii-tron. Dtllindiy is oci-anioniiily nn-i 
with in thi' lantiamnl n-iiioval •>( lRii-hii>ioniy'lnlM-H ; lor 
the t-niiMi> and imiinM-nt of ihin <<< mi [dilution the niuler i» 
R'ti'rn^I ti> M|iPi-ial vrorkN nfMiii trarheoioiny. 



304 



MIKOR 8L-BOIRT. 



When the C^rntion i>f tncheoloiny Udone f(ir the IV- 
nxtvnl iff Jortign bodies f'miii (lie uir-|uwaf|;iw, tin- Mtcrpi^ of 
\\if <i|H.'nilii>ii uri' l)i<' H.1I1K', Ihii uAt.'r tho rcmovHl of the 
fiiiT-iKi' IkxIv ihi- treatment iit*tlH- wound iu somewhat tlil- 
(irroiit. If tlif forngn b(»Jy has rvmninn) in the tnif-hta 
ititly lura >ili4irt lituf thi* woiiihI iti thf niR parto ni»v bo 
i-liiMxl hv mmiiM of AUturtt^ or niav hi- allowwl lo ivinBiii 
o|N.-n, In-iii); nivcrctl hv » |)i<<re iif iik >!;'(< 'lui I [raiiKo, aixE the 
itM.' uf ihf nti'aiH ?i[irav in lien- :i)fui ))eiK-tii'ial for a leu <luyB. 
If, however, the IhmIv hsM ri'mniiM<(] in Ihv larynx, ttsrhm, 
ur uDP uf the bronrhi for Hoinr limi', and has M-t upn rrrtain 
nimmnt of inltnnimiitory trouble, it bi hHler lo intr<>ditcv a 
Inu'hf^totny-tuhe and allow it to mnaifi for u few iluys. 
If il If found inipoHHibh' lo locate or rctiuive the fnrciicii 
ImhIv at thi- time of oiK-nition. a trai'hcolomy-tiiU' »honl<l 
In* intriNhiiirxl ami allowfal In miuiin until the fun'ijrn 
UhIv i» exgii'llt'd through lhi> tulu? or remnve<l enlMHtinviilly 
by uitniis of forue]M. 

Laryoffotomy, 

I II itiU o|M'r»lioM iin iijH'nin^- i> niiiilt' into tlif- iiir-|i!iina^ti 
thn'U^fh (li<- vrict^htifoUt uioiiAivini'. tl in u niinjili' himth- 
lioti, iukI oim' which ■» )inurtic«l)y fni' froui rink, iiml mn 
thviflbrc Iw i>rrf(irin«i tnin'h iiwrv ni|>idly and unfi-ly in 
iiryciit i»M-» lliati tnii-hi»toiuy. 

Ill tllix iilM-ralioli the sunn- ii))}ii-lioll <-Ki.-<tn to \\vf UM- of 
nil uinvtlirlii- im in (niihrntoniy, and ihrhfon- it flionid W 
din|M'nMtl nith. Thr jioliriil iH-iiik! |iliiiiil in the nvuni- 
Ix-til |Mr<tim', witli Uic .■• ill I II Idem Hlifflilly clrvati-d hihI thv 
IkimI ihniun Imc-k la midt*- t}ii> n^^'k an [ironiiiH-iit its nami- 
bli-, till- Huri^poii li<i>li> for thr ]m>niiiHttiT nf the Ih^rmH 
eariilagt, and tiliwIyinK ihi' larynx Im-Iuii-d (he lintfir Hiid 
Ihiinib of Ihr h-l) luind, In- niuki-H iiti imisiun in tht- imtliaii 
liiii- ovi-r tin- iiiiln' of till- ihiroifl 'TiriiitiKr and i-.xi<-ndiii(t 
doHiiwanI for an im-ti or an in<-h mid ii luilf. The nkiii 
ntid DUiirrtloutl liuM-ja U-intf dividi'il, the liiscm lirlwiiii tlu> 
dmta-hyfMit HUttrin aiid t)ii> an^>lar IJwiW- in ox)>um<cI ami 
diviilcn], ami tht- triea^yrmd mcniAraNr to expnwil. The 




LARTireo-TBACUBOTOMV. 



306 



IcnilV !•) lh<rti passetl transversely tlimugh tlto nicmhran« 
iiitolhv lun-nx,nir« hcinf; mkcnthat Imtli thnt membratK 
and the nmcons mcnihniiic which covers its innpr HiiriiK^ 
an* cliviiUfl al tiic same time An m»<>ii u» tlw knife eiiterH 
the tnvity of the lunnx blood aiHl »iiicufi< will l»c fordhly 
PXlH'lleO. 

The wuutHi filionld In? rarefully tiilat^l and a tul>e in- 
lnMluce<l, wliii'h diHeix rmm the onlinary tnHm>tumv-litl>L> 
in Iteini; slightly Hnttcncd ; ihiri is iwiii-cd in |>usitioi) by 
tU|Ms liiil an>ii»d the neck sui in the f»sc of (he ordinary 
tnichcnl mile. The only liWtlin)^ which in likelv to occur 
is from tlic cricothyroid nrttrift or win», ainl if these 
(lini)ot W iivuid<^). iind an- dividr^l in the i>|ieniti<in, they 
hIkmiUI lie teiiip'irarily Mxnretl by hjeniot-tatie force|is or 
tiuiatured, aD<I if tlie eaee is not exIiviDcly urgent, all 
bleedint; should be atToitod before the crin>-thyix>id mem- 
liraiic w incised. 

The iifier-1 real men t of cshw of larynj!i>tnmy is ^imiliir lo 
that of casenof traelieotomv ; the Mtme attention is r«i(nin'«l 
in the <-are of the tube and in the (tvnenil niauugement of 
the |iatient. 

LarTDSO-vaobeotomjr. 

Tliifl t>|ieration nuifiiiiti* io niakiii]; au iiieision inl<> tin* 
jiir-|«MsaKi^ by lUviilin;; one or two of the ii|i(»T riHipt of 
ihi- trachea, the muflnteiieal niemhrane, the cri<ind 
«irtilitKe, And the erico-thyrnid membrane. Tlib" mK-rii- 
timi is em|)lov<<d in caw* M-lnfe, fnim the ajp> of the 
{Milient, (he i-ndi-tliymid siuu'e is loo hhuiII to admit nf u 
nnllii'ii-nt r>|H-ning, or in tliow in which, for any renMm, 
till' siirip-on diHf not ilo-m il adviAiiliIe Io altem[>t Io o|M-n 
the Inu-ltea lower down. The incision in tln' akin ami 
HU|MTticuil fascia of the n*v)i is mwh- in the s«in»i- manner 
at* ill tlie oitrmtion of laryuKotomy, hiil h i-nrriiil a little 
fiinlier ilownwnnl. It ntay Im> ntiit^Hu-y to ilUfilact* the 
iMtliiniis of the thyroid eland downwani to expuM' the 
n|i|>«T iHirtion of the Iniehm, and when the Inu-hiii i* 
exixis'tl the in<-isiim shonld Ih- mwle tlin>ii|fh thin ami the 
eni^iiil mrtilnp* fr»ini Iwlow npwanl. 



304 



HIKOB SURQBBT. 



When" tile operation <»f tiwh«i(oniy i« d*>iie for ih* re- 
movul of forriffit fnxlitv fnini the ui r-{iui«!WgeN, Uh- lAv]^ of 
lln- (>|H'niti>iii an- Iht- wiiiic, l>iii alK-r lh<- n-tnoviil <■! iIk" 
lori'i^ii ImhIv Ihf tniilim-iil of tin- woiiml U wmiowliiii <lil- 
ron-iit. If the fitn-i^) ImkIv Iuih rctnnintHl in iIk- trw^ini 
4>iily litr a short time tin- wound in the itoft par1i« tniiy In? 
cl(iw«i by niP9iii.« of siitunw nr iiiiiy Iw iiUowhI t» iviDaiii 
a\tMi, belo); iiai-fmI Uv a \tUty of inoinli-iicd tr><iKC. 'i"<l l^"* 
iiHc of tlif HtKini lijirnv ia Iktc uIi^i lM'tii''lii'ial f<>r ii fi'W *)nVK. 
i f, liowcvtT, llic Iwxlv lia» rcnmiiic^l in itif larynx, lra»'ln«, 
oroncofllK- bn>ii4-hi f<iri4imp time, uimI 1ium^-( npiKvUain 
nnidinil of inflanitnutori- tnuibk', it is U-ttrr to intrrxliKV a 
Inutliootfniiy-tntx- niwl iillow it U> ri'ninin (it n low davx, 
If it i» fiKind ini{M>mil)lc to liHtitt- or rcniow the lorvi|n> 
ImhIv ui th<^ linu- of iitH-nitiiin, ii tni<'l)iH>|f)iiiy-liihc ahoiild 
Ih' intnMliKvd and ullowtol to n-nmtu iinlil t\w foTt-iga 
IhhIv in i-x|K-llit) llin>ii|;h iht.- Ullieor niiiov4'd MdmnjiHiltly 
l>y Rii-aiiH of furiT'iie.. 

LaryiiBOtoinjr. 

Ill thUo|>nnitioniui'>|H-nin); is made into the Hir-fit 
tliroiitfli thf crioi-ihyiaiit mnnfirunt. I( in n Hiiiipli' uix-m- 
titin, iickI on*- wliich ih |>mi-li<ully fn-*- fmm rixk. iniil ititi 
th«-n<l(tn- In^ ttrrlornittl niih-ti nion- rupidly ami •mli-ly lu 
urvcDt raet* lliuu inM-lniilomy. 

In this niM-ralioii th«- eamt< o))j»-tinn exuto i" '1"' <<•« i 
an aiMMthi'tic uh in trai-lMiiloniy, um] ih>-n'fon* i ' ' 

diH)><ii»<il with. Th<* jmlirnl iM-inj plix'td in no 
Id'nl jxixlnn-, witli tltc Rhoiitilcra ctiKlitly 
hniil thrown Iwk In niaki- ilif rnik 
hie, ihf Hiiri^-on lit'lp for tht- 
tartHat/f, und ntivdyin^ 
(hnmli Iff thf If n hnnil, he I 
line ov(>r tlir tvntn< ol'i 
downnuni for an iin 
Olid HtiiH-riirial fiimiii i>'i 
timio-lit/tiiti inimrlr* iin^ 
dividinl, itiwl llic I'rint- 




LAKVKao-TBACBKOrOB* 




mvity 
oxwlUil. 

riif woiiiid sltoiilil Ik- innftiDr I 
tnxliK'^'il, wiiii'li lUfn-iN fmiit ibr«d 



in iH'iiiK .•li^titly Hiitt'-niil ; tbw »<ai 
tii|H-^ (if<l iinn)ii<l till' iMH-k a» tft ifei 
(nK-licul mix-. Till- iiiily lilf"l'(»- «^ 
IK fWtin tlio eriro-ZA^ioiW >? 
itiiimil U- Bvoirh^l, iitxl mrr ainnmi zn 
fhoiiltl Im- lrm|M>rnrily Mt a tA tfK^ 
lipitiir'tl, aiwl ir tlir r 
liUitlin^ aIiiiiiIiI In' arm4ad 1^ 
ItmiH- in int-iMil, 

Tti<- nn'-r-tniiuimit vt^^md 
tliBt of rtw-c of ttw^Mai 




I* =1 



in till' itin- of ttM' tnW ai^^ 
till' jntii-nl. 



Tliu> oprnuiiiti 
lite tnti^tni, d* 




306 



MIKOK SURnKRY. 



'riiii* ngtomliiiti in iiioiv ofim ]>frf'yniift\ in tin* liEflTi 
ii|HTHlii>ii of Intrliiittiiiiiv timii in ^p'twrttUy ttxnnmn^i. A 
trnt-tKiitoiny-tiilx' l* tnlnNliicol ilmxi^h lh<- h-ikukI nml 
m-ciiixhI Iiv tji|H^< tH-tl nivtiiml Uio iKi-k, niiil the <«n' nf tltt* 
Iiilie should W Kiniilnr In ihal in easm of trarli<v>t»inv. 



Intubation of tbe Larynx. 

Tills priH-wJiirc, at lh«- prcwiit linw', is widely enijilnywl 
lUi n !ii)li><tiuii<- for Irachc^Honiy in iIh' trralnicnt of the 
ilyshtKBH <lii<- to ititl!i minatory aDivtions of tlu- lurvnx or 
lnu.-tiui, or stciiLwiii of the larynx ; ic ntiiiiute in tUv iiiUu- 

1^ MV 




<lnrli(in of ii inHjilli*' tiitw intJi llti? lurvnx, wlitdi ih nllowtil 
lo rcninin in (iljHf lor ii fi-w davM. Tlifo|K'nilion Iihh U-cn 
niTHlIy n-intnHUi«il to the ]mjfow)iin by |lr. O'Dwyor, of 



n*. n* 



^ 




lilMkaUBS-MlM nut IMidIuMiii. 



Nt'vr York, wtio linis dovtHttl n w*t of it)Krnioiii> iiMiruiiM^tM 
for thi- iMir|HM' nf liiryn):iiil intiilmlioii. 
TliK iiMtruitM'nlf^ rr<|iiin-<t iiri' ii iiuuilti-fntK (I''<e- •!t*'^)> 




INTUBATIOH Or TllK LABTNX. 



307 



Ewitli wliidi the jaws an- utiiamtiH] and held oppii ; sn in- 
mmiiivtit lor tlii' intnxltirlinn of tlw tittM-, wliidi ix fwtt'iMtl 
to tlic ftMiiniior uhii-li fillK tltp ravUy of thv tiilN.- (Kig. 



Fw. «7. 




tnMb*tte»-Uiti« (itneior. 



nB.ni. 




2It»), and an iiiKtminviit for t'Xtnii'tiii)' tlic IiiIn' nRvr il 

Jins tiet-n placwl in tlit- Inrvtix, (Fijt. "^17.) Tli« UibtM 

iirp of ni[^il and iuivv ii <iilliir wini-ti 

r(»ti* ii|W)n till- fiilw citrrlH and liiil|ro 

"litititly Iiiwiinl tlu'ir iiiiiUllo and ajiahi 

l«|Mr ti>wnnl tln-ir Iohit fxtrpdiitv ; at 

tliv i-»llnr III' lh<- UiIm- tlirrc U a jMTlitra- 

tion lltni(i)^t vrhu-lt n strand or >glk io 

IMikmiI wIiu-I) i.t ritailo into a lixi)>: this ui 

iiwii til mIIiiw ilir ojitTiiior lo rt'inovi- tin* 

IiiIm' il' III! it.- inlnwliK-tion it i« rminil to 

hiivr [KL-wti'd into tin- i[¥i>|iluLt;iL'i inv^tMul 

III' lilt- liin'iix, nixl bIm* ih iismI to n-movi' 

lli>- liiU- ii" il bfiiiinm iHvludnt with im-ni- 

)imn<- whilo in thi- lan'nx. Thf inliilui- 

tiiin M'l now in comtnitn \ih- tn provitkxl 

with II ivaU* nnd t'\\ tiilH-c niii^in); in mki' 

fnitn MH'h ii!> arc f>uit<il I'or a I'liihi nf'iini- 

yitir or 1cm up In thi' ixffe ol' tvti-lvt- or 

i'oiirti^n yarn*. (Fin- ^IH.) 

In iMTformint! tJn- niN-Ritioii of intiiim' 
tioii of thf larynx iht- rhilil if |iUiixl 
iiiHiii iho Inn of liu- ntir«(' or iWhiitAiit, wni|i|M?<l in » 
liliiiikH, aihl 111*' annn an- ^viinil hy tlic niino* ItohlinK 
ihv i'll"iwfi M> ii» iMit to inli-r(t<r(' with thf n»|)initory 
muvviUL'iitft. 



emit «l iDWIatliNi- 
lalm 




nS HIKOB BUBOEHV. 

Thr imlient'A lirad w next M^run'd I)v nn nHnistutl, aikl 
iho iNtMiltoii itr the head, iie<-k aiitl Immiv, t^mtild be u If 
In' u'crr hunt; (mm llii- tiij> of ttir iK-iu), nml (Iiih ]MMit)oii 
hIioiiUI W firmly Dtnintainn) during llii> ii)M>rti<>ii of llit' 
IuIh*. Till- iiKriilli'^v; in iioxl itiM-rlnt ii]Niti tli<* lefl mlv 
an<l llic- lilaili^ (iibitiM >«> ils hi o|)fD ihv jaws w-idrly, and 
aft tli4' fpMf in Aclf-rptiiiiiinji thin jHRiition in (iikiIv itiain- 
taincO. Tlie jinvs bctiig thus In-M utM-ti, ilic (i|H-nil<ir, 
dittiiii; on a (--hair faring tho jaalirnt (I'ig. 'illl), tw.xl iii- 



rra, 21V 




liiiuuuon or iw iut»i. 



Inxluff-H IIk' iiKli-x-litiKi*r iirUif li-ft tiiinil, iinitHiiil Ity ti 
Htrip iif nillii'xivi' iiliiAltT, into the iiioulli nml ]uu«<>^ itin-or 
ttif liiii)citc uiilil Ik- fi^U ihv t-pi^Mttit ; ilit- inlrrMluoing 
Instruimiil ■>■ wliii-li (lie IuIm- i;^ iiKin-ltiil in Ix'lil in thr riirlit 
luiri>l, dtiil Ihis iHiiiiw iiilnxliii-i-tl inliithc utnulli.llrst sii-iiig 



INTUBATION OP THE LARTHX 



30» 



. 




tliiit (hv flilk<^n \on\i h (n-*^ ^iiid it U tiwppt nviT tlii> UHt^e ' 
iin<l (ioaamI down until it (imiHhi) tlic p|)i^l■lltiff ; thb t» 
)iiM>k<i) iii> liy ihr IwU-x finp-r of tlif I>-1^ tiaiul nD<l ihc ttihe 
iw jm.'M-<l inio tlip larviix ; tiir imli-x fiii^^r iil" iho Itfi hand 
is ilii'ii traiislVrn-cl l<i tJw Higf of tin- mix-, iirwl liy drawing 
iiji'iii tlu- triggt-r of the iiiHlruiiM-nt uith Uw iwlcx liii^r 
of |)h* right luind tlicolrturntnr is detac-hn), wid tlie iiiHtni- 
iiii-nt is nitlKlrnwi), anil Wfore rpiuoving the tiiigcr it is 
well to |>):uv it ii[H>i) tho hvtu\ of thi> tiUM^ and to siok it 
well into Ih*" Urynx. As (toon as the ohtnnitor is ri'movwt 
tlicro iw uMialh' a violcpi <-x[itnitor_vffli<rt \«)ii<-)i is nitiini- 
iKinicd l>v a gush of miM-us, miut>-)iiindi-nt nwtl<'r or mcni- 
oniue from thi* lulw, uihI alU>r this t^^iiites th<* linnthiiig 
U usually satislai-torilr Mttalilishol. It the opemtor has 
|iass>it the IuIk- into tm> (psophiigtis iiml has dt'iai*hc<) it 
fiMHi the iiilnMliK-ing iri^ininitnl. no inijinivfnM'nt in Ihi- 
ri->|itnilioti \ukfr> pliiii- ; il should ihrit !■- HiilxIniKii liy the 
r<ilK toojinitd iilltii'htil (o th<-ol>iiini(oritiHl aiiolhir nl(('iii|ii 
Hii4)nhl Ik' inwh' to inlriHhni- it into (hi- lorynx. 

Till- misliikr whi<-h inf\|i4-ririi<i'd o|NTntory niakt- in at- 
tfiiigilint: to introdiiif thr tiilx- is in not htigging ihi- jmjfi- 
trrior snrfiMi- of the toiigtti- Hom-ly, so ttiat tlu-y jiasK the 
liiU- oviT Ihf fjiiglotlis into thf o-M>|ihHgiin. 

Till' silki'U hM.p may Iw hnnigln ont at ono side of the 
mouth iind liistrni-d unHiml Ihi' mr or fastt-nfd to thi- xido 
of tlic ftux by stri[M( of a<)lic«ive phiAtcr lor n few lnKim, 
M> tlvat hr drawing ti)H>ii it ihr nunv- or attendant is able 
to withdraw th*' tuU- instanllv if it should become ob- 
slnu-leil with ntcmbnine ; or, il it is eonghiil iiji, by this 
niMUis it may \w withdrawn fmni the (Esojiliagus if it has 
not lieen exi>fll«I from the mouth. Some opentors kccji 
the liMip attat'ht'd to tlio tul>e during the time il is n-taineu 
ill the larynx, others prefer to imio\-e il after sevemi 
iHitirs and n'move tin- tiilx- by ni<iiiis of the exlnu-liiig 
instninicnt when re<|nini). The tnlM* Is ri'inoved itl ihr 
pnd of the sef-ond or third day. and if ihe child is able to 
hnnlhc coinforlablv for an lioor or Iwo il is not rcitiiro- 
dtKitl; if, bowevrr, ihr dyspnmi mttirur; it is n-intnxliui'd 
and allowed to ntmiin one or Iwo durs luoger; auvvnil 

If 




810 



HIKOR 8UKQKRY. 



Hlti-tn|ilN iniiv tiKV« tn be> mado liefcm tiw- Mitx* U ihtuih- 
nctiUy n-iii'iVMl, hut it it iimmlly liiniMiifMl nitli from tlie 
third (o t\n- riglitli iliiv. 

The niiN>t i«crioiiN iiim[>li<iitii>ii wliidi in ii)>t to <HVttr 
rliiritig till! iritr<>«)il<-tiiin of ihv iiKtilnirioii-tiilN' i.« tho <!(*- 
tiu'hiiicnt iiixl imihiii^ of n iiulw ul' tiH-mliniiii' in IWinl of 
tliu uAmi into lltelnM-lM'n; if ttiiM w too Uirf^ito lM:cx[K-ltr«l 

nu. -at 




Ltiniilitli llti- tiilic llic lin-alliirij; i* MiiMcttly nrnt^til, mid 
t}|<' tiitN- sltriiilil In- rrnioviil, niiil if t)ii- iiihw nf iiK-tiilirnr>i- 
diHin tMil iwn]))- niton (lie i-xitiralon' clTorlx nf lli<- |uii!<-iit 
Oh' lnii'l)(?i "lioiild U> naiiidly o])i-niil da llir "itly iiti^uw of 
r<--<-«')ilili"liit)i; lli>' n«jiimli>n fiiiiiiiim. Si) rmii-li dii I 
tad tliii^ iM-<-itl<iit, wliirli hac 'xvumtl in u fvw ctum, 



INTUBATION OF TBB LARYNX 



311. 



l)mt 1 iK-vi-r iiilrofliKH* tlie iiiliiUitioii-liilif wilhntit hnviuK 
Kl Imitil (ill- DLXHiwin' iiifttnmK'iitf (■> do » t rh-IkvIihii y it 
it Mlioiikl Ik- »ii(lik-iil_v rctjiiiixHl, uiul if ]N>!»<t)>k- olilniii (ho 
(vnsi-iit iif tliv iMtifiiln or rri<-n<l» to |HTfonii Iraclifutoniy 
if it I'liiitilt] U' tmliiiilril. 

<>m- »f l)ic ^ntHcKl Irutiblw Mfivr intolxitioii tif tlir 
Lirynx if iIk' <iU»)iu'lory tV-<'<liiiK uC the [xitiriit ; liijimls 
HI' II rule tin' not Kunlluwt'*) wt-ll, » imrlinit of tlii-iii i-mi|iiit); 
inin Uh* mix-, <^iiiMn^ cviigliin^ xnft (lil)i(^ilty in hruilliing. 
TIk' <Iioi I aHiinlly nnlfr it of m-nii-Milidfs oiidi ac mm- 
HtHr*'h, Mill'lniilitl ivK>*- <>"*) miiHh ; iintl if iIicm^ ittv tiot 
Wt'll in'nlli>wt.il it iiiJiy Im* in-dTwiirv t'> ri'Mirl t" niitrilioiin 
(■ni'miitn iir ihc nsi- iif n HtoiDiii'li-liilx' to iiilnxliKx' TimmI. 
Siinii- luitii'iiln >u'iillo\v liiiiiitl.'i niiil 4«-mi-Mili(li> iiiiili; well 
if Itic liciu) iH liropjntl a littif lower timii tlii' txKly dtiriiig 
thouctuf 4l<>g)tititioi). (Fig. 220.) 



PAKT 111. 
I'KACTURES. 



I.x tlir rullowiiiti uriieli! tiw author has endravorvd lo 
confilli- liiiuM-lf Kiiu|i1v Ui a di-wriiitimi of t\w variplit* nf 
fmr'tiin' a>l<) to their arPMiiiii; iiikI trmtnifiit, and he iuis 
trill) an far iir> [HMfilih' (oaviiiil thi.' 11)11 ]ti))1i(7itinii iiCilmvi- 
itip), Ix-inft Niiti.HfifJ t>> df.st'rilN! a lew of tho nietlHMb- ol' 
<ln^it|{ niiwt fni It II ■■) I ty ciniihiyn). Hi- has also iivoUled 
till' (liiwrijttidii of ciiiiiiilii-nttvl Hplinlii and divwinf^, hv 
till- iiH)' (•I'whii-h til i-iTlniii fnictitrvs nin«l fxwllent n-sii1t» 
art- >i)iiaiii«il, Imt Uim )ir<'li'rnil to roitiintiK'nd the cmidtiy- 
liiriil iif niiii|ih' n|dililn mid dii-seiinifH, which can Im.' uUtaititil 
lir |divt<iriiiii.-< |iRii-ti>iiii); in diHtne1r< remote fn>Di Uir^ 
tilim, uht'n- tlic HiTvit-o uf iiii iiiHtrnmi'iil-niakrr aiiiiMrt 
bo oltlaiiiod to onHlnu-t sjnvuiI ap]uinitus for the tmt- 
mi*iil of thitw iiijiiriuH. 

VAltlKTIBt OK FllAlTfKIX 

A comidrtf frtteiurt i)t cmr lit u'hh'h the Upc <>r M-|mni- 
lint) iiiiii|iti'if'iy inivt-nx^ th«> Umh-, involvinji; ihti crtlin' 
Ihii-kiK'w ol' till- Uitti'. 

An incomfi/'ir fraetwr U iiih- iti whti^i llicn- i» only u 
jMinuil iM>)ieii«ttiin ul' thi' iMiiM^fibnw (Kin- ^^1). under 
whii'Ji iiami* art- tiH'hidiil pnrtialur " yrww-rfinJt " /crtrfwrr, 
in nhii'li ">«ic of thr t>.nit'-lil>n« havi- (•ivrn way, while 
thr i-«-iiiiiitiiiiK lihn>i have Im-n U-fit liy llw lon>' iumI hiixii 
t»ut Iwi-ii hn>ki-ti. ^Fig. '22'J.) Kifwunil, puiiHuntI, in- 




VARIKTIBS or FBAOTURR. 



818 



iltntitl, iukI jHTtiinirinif rnirtiin-s iin- nlso iiirliiilitl iti tlu; 
diLw of iiiii>m|)li-t<- rnu-ttin?<. (Kig. 2'i.'t.) 

A timplf or etimni /rartiire U a Inu-ltirr i» wliirh llicrv 
art' iHit two lVnf;tiionb', whI iW wnt "l' iiijtirr in iIm* Iiuih* 



rill. za. 



na. 9B. 



n*£B. 







fnulur* u( rutlw. 



Hull 11 tattun «r 
kiiaanN. Klrau.) 



tliBf ■)<>< ooiniiiiiniralr willi lh«- i-xti-nuil air bv n wound in 
llii- Mill ixtrti'. 

(hm/ioioul or ufiru fnu^Hi-rn iin- <nu-tun« iti mIikIi tli«- 
M!Ut ut' injury in llii.- )m)U(« i-vinniuiiimUv with i\w •■xu-niii) 
nir l>v u woiirid in thv M>fl jurln, 

C>iiim)iiM//t//i-iiWii/v)rnn- thiM' in wltii-li (Imti- itn- tiiorc 
ihaii rwii InmiiHiil-, till' liiitw \t{ rnu-tim' intt-ni>uiiiiiiiii- 
iiiliiig H'itli i-ucd iitlivr. {Fig. 224.) 



314 



rSACTURBS. 



A multijilf /rrirhtiv ic mir in wliirli a l»nii- \n tlic -u^t «t 
Iw'i iir miin- iliMiix-l rnu-liin-' ill ilUlirnil |Hiint«, lln- lliiis 
of fnwttin- lint mix-iwiirilyitimmiiiiiiiiliti^iwiili ntcli "t.licr. 

Vomptieaifil frftduvfii urn bih-Ii jik iirt' m:i'i>iiii>]iiii<tl hy 
HtUH* MTioii» itijiirv nf till- iuirti> in ihi- n-^ion ol IIh- fnii^ 
tun'— UM, for iiMliiiHv, (!)(' IniT-nil ion of iiii|Nirluiil MimkI- 
Vi><H'Ih or nfr\'i-K, •?<iiitii>^t(>ii or liut-ntliini nf lite iniinclvif, 
■ir tlifilixiition of ii iH-if{liUirin^ joiiil. 



no. XH. 



rxi. ; 




CkHDBilniiHd (metun- 
■■r iMMlla. 

no ICO. 







Uni*(Md nmMsn, 



of Imiitr (OraL?,) 



tmymini /nuiurtt niv tliiiw> In w)iM<t] one froKntrnt in 
ilrivi-i) into nnil Hxiil in ilx' nihrr. ilti- riiiiiai-lion ttikiri); 
jiliui'iil tlii'lirnrMif CrH'-tiin', or Uingmii""! oy ii f<)rivMil>> 



UIRKCTION OK rRACTtTRK. 



316 



DlUWTIU.N OK FnAtTI'HK. 

A transrcrm- Jraeiurt in niiu in wliioh iIil- gi-titrnil tine i»f 
■liviivKiu iif till- Im)II«- is at rijjlit iin^U-K with (hr long iixi" 
uf till' lumt". (y'tR- "(1.) Traiit-viTw fraiHin'* of tlit- lung 
lHMii.1t «n- nuvK i»H with, tbv lint- of rrut-tiin- iieiinlly 
iM-iiig mure or Ivm o1)li<|iH>. 



PM.1II. 



mi.m 



♦ ». 




iihllipw rndim at taiinanft 



(StDMM-l 



vin nA/iaiu* fraeturr w 'Mii' iu wliich lllc liiu- nl' w-]i»ni- 
tiiiii IK i»lili(|iii' til ll)r tone iuIa iif till- Ixitiv. 11tti> U ivnv 
i>( till- iiKiot (11111111011 iliniiiiin.4 ul' the line oC fncttirr. 

w4 longittt'lmnl /metun i» »n« in wIih-Ii thr lim* of m^w- 



310 



FRACTURIES. 



nili«Hi nirirt in (lie p-iwnil ilm-i'liiiii nf'tlw I'mp nxis" nfllir 
Ikmk-, (Kig. '2'2)i.) TliiR form of I'pwtim' i» raw, but itt 
wnirliim-^ tm-t wiili in die long Imjih'O »» Uic nrHull of f^uii- 
tihot injury. 

Kpilthipifai /raHurf or Mparaiion ixviin* iK-furc iiiiii|»)<-U> 
oKiihcHlioii liiL-> tnkvn (linn- IK-Int'cn r|iii>hv!<iK iiml tliiipll- 
yi", luiii U iiirtlv iKvii lifter llii- twi-iilii-lli yi«r df lifi-[ 
lliv ilinK-lion <>(■ till.' cpiiihyMLiil «>]Himtioii is tmiwv<-r«'. 
(Fig. 2-29.) 



n«. xsl 




Tlif <lrft>rmHy or ■li^iiliK-.Tiicnl iri (nu-liinw is i-illicr 
liiigtiliir, tRiitHvi-ma-, liiiiciliidiiiiil, or ntliiri'. 



ItKi-Aiit or l-'iiAcrrtifyi. 

Tin* jinm-^ 111' n'|Kiir in mm^ nC friH-iiiix' if wtiK-iwIy 
■lAlni l)v Axhliurtit iin litllown; "Tin- tniiiii»tti4- irrilHtion 
)in>it»t;»l('<) Trntu llit* tmiki-ii iKnir huimv Hwrllittic <>f ll") 
iH-rKK-Mi-inti, iH-tiviT pnilili-nillon, nnil TuntMUtMi of n itlii-utli 



BXAHINATIOK OT CA8B3 OP FRACTUBK. 317 

of nevr Imn^- nrmtnd the seat of (ractitrp ; thu i» the 
etuhea^ing nr rittff oaliiu of <>urfnail wrilMw. At the 
Hiinif> tim<!, ihe mnliills foclK tlic i-HW:! of thv irritution, 
Imh'xiiiH'k liMnlent'O, »n<) {lartially (>t^ilic<l ; tliis <x>nMiliitpfl 
t)i<> inlerior nr /»iii oallwt. l^siW, ihi- (R^iseuns lu»iic hx-lf 
tiiKlrtvofB ci'lI-|in)lifeRitioii. iiik) union nf the fn^^>■^I>ts 
tiikcx jiliuv — mtttalu mulaiuii* — iin-riwly \*y tli*- Kiriu- i>n»- 
ra«H liiat wc liitvo alrf-tily HtudtctI in cDi]id<lc'riii^ woiimU iif 
\\w null tiMiucs. Thf iic^- niKtprial whM-li ut tlitin ik-volopn] 
iM-tu'cfn tlip fni^ini-iit)' th<?m»clvr«, noniitiliitm wluit Dii|>tiy- 
m-n callfii till' intrnnftiiiile, pmiuntml, <>i- iltfinitiiY ealhu, 
in <'<inti-ii<lisiitii-liiiu to tlii.- ni>JiM/hhii/ :iii<l intfrior lurnis 
uf uilliiit, whit-li iirv Ifmfxtrary ur irrofUimutl." 



KxAUiXATiox or Caxim or FHArri'RK. 

In cxainiiiHif! ii ni>u'>irrnM'iurf bt NkhIi' llir niitim- mxl 
«tit i>f frnctiin', tlio doihinf; tJuxiM Ih- rT-n)i>vi<>l from llm 
mirf uilti »# liltk* HiiiltiHitimf im |Nn>iliU-, am\ it ia iH-ltcr, 
in mtHl nunv, li> cut or rip lUf clotliin^, mtlicr tluin t» 
ttttrniiil I'l rt'iiiiivi- it in tin- nnliniirv iiutnni-r. 'Ilic Mirpi-titi 
i>li'r<i|ii liol inBiMi-t tl)c iiijuni) jiart, nmt. wlicn- jfivi))!)', 
(•ii)ii|uir>' it will) ilH fi'lliiw, iln in tln' i^m' of injnri''*' of thi- 
(rxtii-niiti^*- ; inix-li vnlnnlilr infuniintion i" ill*) <liTivi"<i 
from tJii' imtirnt or hix frftiiil" a* to (hr iiuiiiimt in whi<-li 
tlip injiirj- wiu> jmMliKiil. TIic ]wri ulioiild iwxt Ih- miv- 
fiilly oxiitnintil liy the- hiii-kcoii ; if U )>■• iitii- of the <'x- 
trcniilir^ ^vhii-li i>t injtinil, it hIumiM Im' p-ntly Itfltil, limi 
(■xti'n^ion lH-in|> inmli- tit tlx- Mimi' timr, llic Miiyiiin bv litii 
tiii(i-)i tin<) Uy ^'ntli- niovciiK-tiif 'MfkinK to I<n-iiI<' tlio MMt 
of I'rnvtun' : iin^l tii- nmy, liy his ijiuii|iuliiti(in, lU iJic muov 
tJiiH' ilflvi-htii cnniitiid. 

All nuini|Hiliitiiin.'4 -iliouh] U' inotli- with inn-, luid with 
t4ip [jniitiM p-iiilrtx'K*, mil mily In i«ivi' the ]wlicnt fnini 
IMtiii. I>iit iiJki (ii prcvi-nl iht' wnO |inn> in l)it' nyion of 
till' rrtiHiiri' friiiti U'lii}; injiin-(l t>v tin- ron^li or "linr[> 
' fni^iontN of tin- Uiiif. Koiif^i lianilliiie of fraiHin-« inwy 
[ncrrnM- the nniM-tiliir >>[MUiin )>y llir irritiitioii •■HiiMt) \iy 



«l* 



rKACTOBB*. 



tbe ■harp fnMrmmiB iif tbr taMw^ and anr aHnty r>Mtll ia 
Ibr injunr »r ini{a>riAat yijilii and Dn-\'», ami indm) a 

, »arii|ilr- fntrtun may far (aavnttil ioa» a w—jwii od nor Itv 

I fof-ililr un<l injotlkiuoK nanipnktlaiM. 

Tlir «..fi<r tlir naiMTBaii'in i> mMlr aftrr tbv fiarnin' 
luu oi-timil Um- IwUrr. for at lliU time ihrrr w 1h» mit-ll-, 
[n|t in tl>r rrfpim of ihr initirr, and tlir MirKntn i-an 
thr imiay [inimtlvWTTi «iln mttrh matr fW, anj i»li oft«M 
iImmvivit till- i-tart ovt uf iIm- fiariun- with thi- It^iH 
ainiMiiil iif nianijiulnliirn <>( tin- pan*. Whr-n a ouv of 
niMpr<-ti>l frrwiiirr- i> n>>l MilijiTii^i In rxnniinatinii liir 
M'Vcrnl ilii\a nftiT l)i<' niv-ittiiii of llir injurt', tlir jnrt* in 
liir n-)ti<i» of ti)i- «»)>jNMi) frui^un- an- otU-n t*t ihimji 
MWollrn that it to itiipcM-ililf Ut tKvuntUAy InoUi' itit iwat, 
iinf) ill •wh a inM- ii i* (ifl'-ti DocfAAry tfi «^i tmtil iht* 
■wrlliilK Ititfi ■tiltaiiliil In-fiiri' itif |Hnili<ili i>t' the fmrtiin' 
cm (■■ ^tiorarrnrily fix'it, lh«' rnm' U'tH|{ (n-nlifl in til 
BHlintiiii)' a> >iw •>(' f'railitn*. 

A-tnt/ttfirti may U- ttiitiloyi^l l<> n-lit-vi- (In- (Mlicnt fn>ni 
imiii uihI ('> tililili-rati' iiiiiMnilar «|iapni in llii- i-xainiiialitHi 
»r rrnHiin-*, ntiil ltu-ir ciii|>liiynii-nt U nflrn nf the )rn«tc«t 
wrvuT in lli>' tlinicmwin >'f utiM-iirt' or ('>iiii|tli<iilivl fnir- 
Inn'", •w|m'iiill> iIkhh' ill i)ii' iiciffhlBirlioiBl oC j<>itili> : liiit 
Itif •nrvoiit •Ih'IiM niiicml'T that iill iiiiiiii|Hil»li<in- pIuxiIi) 
l>p nimli- M ill) tlic ■udir jfi-iilli-iK-n- a- wlini tlit- rxamiiiiitiirn 
In nMiiliM'Uvl willi<i<ii iiriNiahnin, fi>r tht-n- in thi- ntitM* ridlc 
of injiirv III tlif MimHiti'lin^; •tnirliipii' Uy tlw rni);nictit>t ; 
ttita (iniantiim in niirn iiivlfcitsl mIh-ii nn nnit-otliriii- iuw 
Imi'ii ^'ivi'ti, thi' ■itr^'iiti iin'-ti U'liit; iiii'liiitti til liiiixlti' itif 
imrlH imin- nMi|{lily lliiiii Im' otlii-nt ■■■■ wotilil ; pikIi pni'-livo 
<iiniii>4 Iw tu» Hrvrrvly uimJcinnnl. 

i'liiiviHinNAi. IiRDMixua IN Cahiw op Piurmiif:. 

It Ki-iH-rally liu|i|ii-iiN llmt frwiunn iHvur al liNnlilim 
niiin' or l'-<u> ilt-lnnl fnun tin- ["'iiil «litTi' l(n- Innitnu'nf 
iif llip rniiiiirr* !■ til Im- miiilni'inl. mill llic lniri>-|H>rlj(iii>ii 
iif llir |ailii-iit mill llw IrnilNiniry iln-^iii^ <>f llic Inu-ttin- 
an-, llirr>-r>ir)-, iiuitliT- nl' iIh- fimt ini|BirluiMi'. In I'nu- 







PROTISIOMAL DRKSfllNaS. 



.119 



rM.BDi 



tiiivs of tlio iipiM-j- cvtiymitiefl, il' tin- rnirtuiv lie t'iinplt', 

tJie i-loUiinic [ioo«l n<tt )h' r«-in<>v<Hl, iiiul tho »nn kIiooM Im> 

boiirul to th« sitlp l»y rtriim' ar(icI(Mtt'oloil)in)r, or tui|>|Mirti-<I 

in a ^liri]; madv from li:tiulk<-n-liii-lH or itie Hotliintc. inxl 

the luitient I'aii usually walk or rifle tor n oliorl tli^lamv 

mlhoiit iniicli injiirv to th<' jsirL* in ilie rwion of tlw 

frat-tun' or iot'onvpniejKe to bioiAoh'. Wlicn tlie iMmvti of 

llic lower extremities or iJm? trunk are the iwrtm involved, 

the transportation of the imtient 

is a matter of more (lim<-iilty. 

When the lM>ne»i of the tnink 

lire involved, the |)nrt shoiil<l 

Iw Mirnxindetl hv ii hitKler 

firmly nianftl or tied, made 

from tile cluthing or from 

towels, or -theetfi iir otlier tttronj: 

maleriaU whieh are at hand. 

When the bones nf the lower 

extremity are involved, if tiie 

fnu-tnre hp a simple nac, iho 

t'lotliiii); immI not ne rcinovetl, 

and the nitnion of ll«> fni|i- 

nients should Im> prevented hy 

applying to the Midi-s of the 

lirnl), extendin); alMtve mid Ikv 

low tlie M?)t of fnictttn', >itri|i6 

of uxhmI, chin^IeK, piLMlclKHtnl, 

hundhv ofidniu', 8lri|i« of Iturk 

tnkcn fr>>itt Ireei^nr Ituiidhv uf 

twijC. iJuW U'illJI held ill pllMV 

by )iiindken'liief>>orf>lri|w> torn 

from thf eliithiuf;. rinhn-lhu> 

nr caiifp, or hnxtiiiNtii-kn { Vig. 

2<'tO), ap|>lii-d ill the Minie iiuin- 

ner, may Ik- ewphiVMl, the oli}ii't of nny of thcw dnwiMp* 

tifiiiK to i^^<-iin' tem|H)niry lixuttoii uf the fmgiiiriil)' of 

Ikhji- diirini; the lnin-|><>rtn<iiin of ihi- |n1ri-iit. 

If (he fmciiienlx niv not fixed in Mime wnv. lint an.' 
nllowo) to ninve iiUHit during iIh' trei»i|H>rtiitiiin of tlx* 




rauvlduQal iloaaliic lar rraetun 
or tiM lot. IKwianui 



aao 



fRACTURES. 



patiiiit, miifl) rliinm^ mny it«ult to t)ie wif) |KirtM fnir- 
Mniulii)); thf fnw1iin-<l Imm-B, iiwl ftiii|)k- fnw-Mirvi' nmv 
iMiiitiH- comiMXiDii tjiH* l>y the Imiiwi \nAnfi funifl ihroil^li 
tilt' >^kin. (Iir iliwtimlMrt of Uio |Hitk'iil itt tli<- xitiiu' litiic 
Ixiii); tiiiirli !iK-niii><'(l. 

(lavin;; H[>|jliv<l iiiiv <ln->wiiitf to liriii); uImmH Kxiitioii nl' 
till- rnii^iii-niM, (Ik- [Kitittit i^liiiiilil m-xl 1m> iilnail ii(kiii n 
briKid iHHinI (ir M-lttf ; H' ii niiitln<rtM I'liiiiiot he nhbiiiiitl, 
till- rntiiiiittl linili nlioiilil Ih- laid ii|h>ti ii iiuiwiifcliittiitip, 
iir ii|H)n roiiic itniw, niiil he kIhuiIiI Ih' plticil in ii wii^)ti 
ttr mrrktl l'> t\w iMiiiil whi-ri- tin- HuliMi|iU'iit ir«tititiiiil nl' 



RkDCCTION or HbTTINO of FllA(Tl'H»X 

Tltic itlnmW Iw dU-ftcfl a» wkiii m |>r»8iblf aftir the 
iMviirwrnv nf ill*' injiin' iiml a* wooii «.« thi- :<iirp<>iii ih 
jiri'iiiiri'*! tn Jipjily tlio <ir»iwiHp> to lnf\} thv iiiirt" in tJicir 
jtniiMT )HMitii>ii ; rtilnHiiiii i>t iiii i^irlv )M-ri<>i) ik Inw imiiiliil 
til lli«- iNiliriil iiimI in iii<i^>ii)|ili>liiil witli iimn' 'luu^ to tin- 
Mirgc<in lliiin iit ii Inter [H't-iiul, whi-ti nmrkitl fuelling ami 
iiiAiinirtuilioii nn- imwiit :it tin- mfil of friM'liin-. It dni- 
MNtfi ill liriii^iiij llu- tTti{:iiii'iili> liv mittiipiiliitiim att tM'iirlv 
ivH |NiTtiiil>li' in ilii-ir iiiiriiiiil {xMitinn, uiiil it !:• nivi>tii|il!!'lii'<I 
liv i-xtt'ifiioii mill iiiiiiiipiilitltoii villi tlic liiiitiU, ■iiri' lH-iii|r 
tnkiii to im- ui> littli' foriv ip> [m-nilili' to altniii tin- '>l>i(v-t. 
ViTv lillli- fiirci- in nrtrii niiiiini) if ihv niii^tfiiii iilwt^ 
till' iKirl ill Mich II {xmitinti af to ivlax tlic riiiiM'li'M which 

IinxriKi' the i|i<i|iliui-i»riil : vrhcii thU ix iH-iioii)|>litilii<<I tlic 
rHtinii'iitH I1II1 UHiially Ir nn-wiiil into ixwtlioti liy tlio 
fiili^rc witli'Mil tlic iiiitilinitioii III' any •ini^i'lint))!)- fonv. 
When (hi- niliK'tioii i>l ii f'rni-tnn' liiis Ui-ti miiiniiili-lKil 
the rmpiK-nti iiri' rt'tiiinii) tri |Hi-itii)ii l>y the :i|i[>l('-iifii>n 
(if viiriiMii- ><|iliiit« iir dniwiupi whidi ^-rvr U> im-vi-nt their 
iltHpliM'eiiiriil. 




MATKRIALS AKD APPLIAIfOBS V3tO. 



321 



SMaTKIIIAW ash Al'l'I.IA.VI^ffi lJ>iBl» IN TItE PlIRWtNa 
OF FltACTUUBil. 



Fratttut Bed. 



Many inpiiioiiH fumui nf l>i-<U liiivc bwn (WismI fur 
itit' ii.-^- of iKilkriM MilR-riii): rnmi t'rartiirvn t>( llie Immk^ 
(>r 11k' iriiiilt uiid lower rxtn>niilti«, IhK a simple be(ii4l4>iMi 
pniv!(lixl willi n tinn linir iiuittn-^ hiivin)f » iMrfonition 
lutir iu ii-iiln', into vrliicti U flltnl a firm |ia(l, iiml )>nv 
vi<li-<l will) n |«in wliti'li .■'1t<Iit< in a fmim-wnrk U-ncntli a^ 
<i>rT^^[H)iHliiie oiK'tiiii^ in (In- IxtlHtt-iul, uill pmvfa iwctiil' 
upitliiuiif. Tlw iiiiiilrt«-i in «»vi-n^ bv h ^leet jMrfomtoJ 
til i-um^iionil li> tin- uiK-nin^ in Ihr niatlrcrii^, iind when 
the |)a(l is n'liwv^'d tnt; i-vi«iMUion.i iif tli^ gialieiil an- 
(MUerd indt tlir juin. 

til f"nn-t«ir(ii tif tin- tnink nr Kiwcr rstrrrpiitW tl will lie 
f(iiiti<l niori' iimvcnicnl iti IiiiikII!ii^ iIk' patioil to um' n 
oiliLcIf Wil not nvtT tliirtv-two nr lliirly-ni\ iiii-)in< !n 
witltli, and it in no! owHiKiiil tlmt tin- innttn-f W (H-rlor- 
titn), an II lied-imu niii iiMiiiilly In- H!i[i]Mt) iimii-r (li<- |iu(i<tit ; 
tile iiinlln^o* .4i"ul() lie n iinu nni' ;«tiil1i-<l niili Uiiir. Tlic 
iiM- iif iin (inlinnry tin iiii'-jilulr mvi-nti witli ii piitv of 
i>l<l iiKinlin lo n-ivivo tlii' t'mil I'vaciiHlions may U> Hiili!4i- 
tnttil fur ilir IhiI-jiciii iukI will U' litiinil in miiny vm» 
more mistiii'tnry, (::<iMviully in tlu> ntm- nl' diildn-ii »ul 
ing (nym fnu'tiin- wf tlw- lriw<>r cxtn-iiiity. 

AArr iIk' rvdiK-lion nr M-ttin|e nf tlit- frnftinonbi in 
• 'f rmi'Iiirv tlicy arc iwimlly rcluii)r<l in jMNtitinn until 
union (i>'<tini l>y xiiv iim- nf H|>lintfi tivM in ]HiMition l>y 
raconKof 1mi)(Ii4p« or Kirijif of niiMlin, SnIintH nmy be 
mnib* of W(H)cl, (ir nf tin, luul. i<o})|kt or vrirv wliii-h ihh- 
Nw llio rtKiiiUitv uinonnl of liriuiH-w nnd |M'rniil of tlii-ir 
Ix'ini; niiiiilil<-<l t4> lli<* [wrl, uhicli Inltrr inny Im juuiiil 
iiM'ltil in ti-rlJiin iiimw. 




S23 



FBAOTURKS. 



Woollen iiplinia, — ^Thi'diinnlwit and U-st i-plinte ariMnade 
fntiii wuoti— nlitU' l>iii<>, willow or |Ki|ilar tM'ine iIie beM 
miitcriiil (" uiii|il>iy liir ttiuir <iiiislni<-tT<>ii. iH'iiij; Hifticimlly 
hli^mt; I" fiiw liMitiuii to tin- \nii-tn unil iit llii- niiiic time 
lH-in<; li^flit. SiilinlK nn<k- rmtii f^iiiiwiiIi uliilc itiriL'. M'illdwr 
iir |Ni]i|iir Ixxinli^ rruiii •>nc^-iKUl)i tn i*tR>-liiilt tut inch in 
lliti'knt-w ninv Ih> fiiiphmil in 1)m- runii of ntnii^lil iir 
iiiit;iiliir #^ilinlf>, iiikI tlu-ir |>n-]i»nition in u nuilU-r nf litlk' 
tlillinillv, 

NViMKlcn Mitintr- iM'liirv Ix-in); ii[>iilHtl lu i1k> juirt olionM 
Ik' wi-ll {si(lil<il Mill) (iitiun, w'lHi), inknni, nr liuir, mid 
wlti-ri- liilcnil w<»k1i-ii tfjilinin iirc i-in|>li>\'»l in tl»' trrnl- 
nicnt of fraiiiin'M nf Uic InwtT (^\ln■nlitv it in umuiI tii 
|iliux> lMlmL^p« iir junk-lHtK)' iK-Iwu-n tltv limit luul l\w 
i4|>li»t. The «irv)il wotHl<-it diiiint" whioti iiir- miliJ li_v lln- 
iii.4(riiiii<<nt-miik<'i-H an- not lo Ih- nii>niin('n<liil, hh n nilv, 
for iiiiliTv tin- inrip-nii liiu> H inrjir iininlx-r In H-Uvt frtnix 
it i" nin- tiiut It xjilint mn ito nhtuiitcil to miiimti'ly lit any 
intliviiliuil nine, 

iiitulrr't boartl or jiaatehoartt is nn vxrcllciil nmlcria] 
front wliicli to roiiKtnK't i^nlinlo; il U (trnt MNtkMl in Iwil- 
iiif; HuliTuml ulii-n fiiU'K-K'nllv niH ih [KHlditl witit (^ollcn 
or H laM-r of lint .-iml ni>i(ild<.il to tlit- jwirt, util mriin-*! in 
|B»ilion liv It Uuidiip'; an ii iMxiinim dry ii liuntruA hihI 
n'tutni till' xliB|H- into whi<'l) it unit niwddifl. 

Vndftuird InUhtr in hImj an vxivlk-nl niati-rinl ftvm 
wliii-li li> oMiHlnut ■)|lliMt^; it ix iipidittl hy fir>it «u»ktiiK 
it in lioilin|{ Miitcr. iiikI alli-r iKiddin^ it with coiinn or 
lint il !■ motilikil to tlu- )3nrt unci n-liiimtl in |K)Mtinit l>y 
n Imndiip-. 

Ffll riiadf frotn wiHtl >«itiinil<'i) witli pnn Hhrlliii', prifiMil 
illtu xlict-tn, IP iUmi II ^hnI iiiiilciniil frrnn Miitfli to iiiii- 
Hlrmt M|>linli>. Tbio nutlt<riid io |irii'|iaRtl (iir ii [)|i I i ration 
lo the Mirfiuf liy hmlinj; it liff(>n> « lin- niiiil it licconi<t4 
jtlintih-, or liy di]))iin^ it tutu iHiilinj: HHt<-r. 

UHtln-iKi-rMi 'jJinU Hindi- from -lui-tr' of lliU ninlcriiil, 
in iliiiki»'w l'n<ni ,1^ lo \ of nn iiu-li, rtwy olVn In- nn- 
ptoyifl wtlh mlvnntJi^'; il i'* tirrimnvt for iint liy iiunirm- 
111)1 it !u hot wittrr, nliiru tt (■i-nnn-n miH hik) iiui 1h> 




HATKRIALS AND APPLIAKCKS USED 



iiioiiltUtI to till- siirfiiti-. C>iro xhoiild Ih< tnkt-ii tluit it w 
Dot alliiucti 111 Ixtxiiiii- t'Mi mifl liv ii><> long iiiiiiH-nMiMi lit 
(KTHiil of ilf^ Ihw)! i-Kiivciiiciitly limiilli-'l. 

i'aperifulinlii uimU- fn>iii luv<'r)toriii:iiiiUuiia|MT KlifTfinfl 
with sUin-li fuiiMtitiilcu vi-n' fuir Ktilu'litiik' lor mhik- oIUic 
\-iirK-t)ee uf HtiliiilK prvvKrifly iiir4itiimnl. 

JiaMer-of-PtirM, rfnrcA, rhaik and ffum, tUlralf o/ pota»- 
MMm or ttnlium nmv In- cinploviil for tin- iTHirtnivtion of 
H[>1ii)lFi, citlHT iiiovaMc or iiiiTi)i>v:ilil<-. in tin- In^ilim-til of 
fnuinrctt; ihrir Ru-tiux) of [in'|uir»iion and ii)>|>li<iiit<>n ti 
ikwrilut) (11. ft2 rinrt/.); (lie [iIii-IirHif-I'iiri'' iln-iiKing i» 
till- oiic w^l^^^l i* imm'i in'iimilly nwil iit tin* prvM-nt limi". 

>"rw<Mrf-Aox. — TKi» ih b fimn of i<|ilinl tiw-d in Oic 
tmitnivnt of fniflnn.->> of ilii- Iow^t oxln-miiy, nitil cuin- 
m*^ of II |)i4iv of Imcml rijililiTn to Iwcntv iiM-lii'w in 
Icnjfth, nitli u fiml-lxwnl firmly nwuntl ill i(j* Inwvr 




i-xin-mitv; thf kmI<« mxv MHttinl l>y liiiipti wliidi allnw 
llii-iu (o U- mm'*\ or hnvcn'«l ( Viv. i'H 1. A frni-liin-lmx 
ol'^niKtT li-ii)[ili i^ nipiinil for tin- (niiiiiKnt of fnu'ii 
niKMit the k ii4H>-joi»t. 



(nnv 



Bran, jjtnuif, or 7kiU- /fttj/N. 

TiMfc nrt- nmnlrui'twl Ity tttkiup » invw »f iiiiti|i-m-4)i'<l 
niiinliti five* feet in li-tii^li uimI fonnrfii nml tmtf iiti-ltiii in 
wiittli, iKidtilitifr ii iitid Mitirinj! llif (nv ituiivina trxivjrt 
itt ilii- ntoiiili liy iiilWiii' M> It" III fortu n IkI);; iIh' lnt|; in 
tlicn invortcil m> ilml tin- til^-H of (lie w-ntiin iin* lironghl 
in (hf iniipr Niirfiwi- of tho Imp, Tin- Imtp' mx- iicxi rillctl 
H ilii ilrv Mini, ttrun, nr luiir, or nitti i-tmu , uiid tlit' iiiniiilt 
l>r IIm' Inik in i-liMil by olili-liiii or liv In-iii]; lird with a 



324 



rRACTlTRKS. 



Ktriup. Bmii lluct^ witli i>filiuto or m»i1 bo^ iin* fn- 
ativutW viii|)loyi.il in tl>o trmtniciit of fnu-tlinw nf Uiv 
ri-miir. 

Sandiu/ft ntuik' of niiulin art' iinhI u* n-1iiiti Mgiliiiti' iu 
llu- trciUiiifiit 111" rnwtiin-*. ami nrv iilw» "ouifiiiin» npplit'd 
^lm■^^Iy t'> iIh- irijiirvi) (wrl Ix'fim- tin- ii(>|ili<iiiioii of '(ilititH 
III fr>iiln>l iixM-iiliir e^MUin iitwl liiiiil IIm* tiimiuai of iiwrlt- 
iou ; wliiit H lumdu^' if( h> iiMt) it u> known iw ii jtrimary 
rwttr, TIk- \uv of Uk- priuutry milfr in wMiMiiiuiw i»f Iho 
grraltf^ «tvmi- in tin- iln-wiiiir of fnnHiin't ; 1ml its iiw ill 
ifH-xj«:ricmi.tl liitiKl" Ii:i» iilli-ii Ixfii fnllowti) \t\ wicL uu- 
fohiiiiHli.- rt-wiill" iu llii- tiirly in-iitimtit "f fnu'iui-e, i»r in 
»iM-<< wliti-li iirt- iiot iii)di-r <iiiiT^taiti oltrt-nulioi). liiat I 
tliiiik il ie ii xuft' nilr uf jintctiiT to diMiird entirely iIip 
liiw "f lh<' |iriiiiim- rollrr, 

Oamprfimni niaiV fniin ii iiiinilH'r of fotdit of liut, or 
<i)lton itr luikiirit, ni>- ont-ii i'iii{)liiy<Hl l» n-tniii fi^nicntr* 
in [Mv^iiton or to make lix-iiIiMil |>n-«inr<' ti|>i>n ii-rliiiii 

INiintK in tin- tn'utnic-Dl t>f frwrXurvK. 'Hk- <i mi [>«•*»(•« art' 
iflil in |*onitiun l>y xtripe of adtH>MVi- plimlor, l>y ii few 
tiintM uf n nilk-r liamliitrf, or liy tlii^ »|ilit>lA. CnmitrciM's 
ai^' wiHH-linKw cniiitoywl lr> proUt-l l«oiiy iiron)inc-n<i-H of 
till' xkHi-d'ii from tin- itn-wiirc of tin- )«j>liiit.H; Init tliltt 
|i(ir^KMf it ut\<'n U-ttcr i-fltiiif) by 1I14- iim' of mikiII jtiecen 
of MMji (iIiuK-r n[inw) on fliMinoin lilliil owr tin* |troiilt- 
m-nt |K>iiil«, 

nu. -SL 




Ibwk torMii-TiiriiiMt tei|«<ulMBlii Omclartot Dm towNoiMMlir. 



A rnck or (t<w//i',fiiiiil«Mifvfireor wotxlcn liiMifw, iHofbl) 
i-ni|il»vii) to xniiitorl tlu' wi-itfht of ih<- lM->l-4'ti>tli)-?i in \\w 
tn-aliiuni of fnu-tun' of ilic Itnvrr cxlri'mily (l''i|f- -•>-)■ 




rRAOTURK or TBI NABAL BOVIS. 

UmB ilt' EVAItHlATISIl I^tmoSW IS f'AMW <IP 



3S5 



^V 'Hm* ftnployiiH'tii <>r cviiiMinttiii); loiimui mwli «« U-otl- 
F wnli-r iitui iiiiidiiniim.or miirmti- itiniiiituiii nut) IuikIiiiiiiih, 

I Ui till- iikii) iu iIm' n-giuii uf fhutiircs in lii^lily m-imi- 

Rirn<)('<) Uy amny oiir)rt:<c>iiM, cKiMTidUv in rnu-iurr^ iiivolv- 
itifl or ^iliuUiH) iHur joint", li U Ivn* (■m|il<»_v<'<l m r>'Iicv€> 
I |Niil). (» liiiiit ill fin in limit irt' nwcllin^, hikI to liu-->t<'ti tli<' 

nliH<ir|iti<>ti 111' lilt' IiIomI iui>f tutiiiii h( iIk' ^'iit uf Inu-tiin-. 
Itliitiy Ml 1^11 in.", <in (lie iMIiit IiuikI, think ihiit tln'ir um> 
mtiM-s irritnli'iii of tin' nkiii anrl iIvIhvs tlir ))rtM-ft«< of 
reiNiir Jn tlx' niiiou of ihv fnii-tiin>, ana m» ^tmngly n>ii- 
ili'nin tlicir cniiilovinfiil. I iM-rMninlly liavo never wcii 
liny Uul n-snlln nnsiii); rnnii tfirir iim-, nml lmv<- 1,^'iM-nilly 
■'in|tl>iyiil tlu'in in fniHiins nmr or invulviiit! tlu- jnititM, 
l>iif I <li> lint cDnnidt-r tlivir ('ni|)liiyni''nl iilmilnti'lv i.-»wn- 
tiiil, uihI wIu'H I nw tlwni I only ilo '" (or two or llinv 
iliiVK. hi niMv of fnu'ttin- iHMiin|mni(il witli niticli jwin 
iitui HWflling. wIki) llti- ■'iirei'on <I<hv nut wi:<)i lo nw itny 
III' lliv liilioti.i Ix-fon- ninnitl, un i>iiiliiifnt of idilliyol nni' 
{Hirl, liin'ilim- tlini- iMrlH, N)inDil on lint unit ^^nl|l)H'•l 
iini<iii<l till- limit, u ill iif^i-ii |>i-<>v<- n siiti.-riii'tory ilriTv-iii);, 
• ■r It liivi-rof (iittiiii niiiv Ih' Hini|ily u-ni)i|H-<l nroiinil tin* 
jmrl iM-f'in- tliv ttji|>li(i*lii>n of llic dpIiutK. 



DrMoUitf of BpoalttI PraoturoB. 

KHAiTrUK op TIIK NAi<Al. B<IM». 

Fr>ct(in» oClliv nasal U>nn>un> often iiit-i>iii|uini<il with 
fiiti-HirfH involving; tin- Mpliini, the iinKil i)i->MfM< of |]k> 
iniivillitry Uini'. :in<l (In- tiiuiil hjiinr iif the riMniiil iHiitr. 

Till' tn^itiii'-rit •iinhihif' in n']ilit<-in(; tin- InL^nifntii, if 
ili>'|>lit<vnii-iil exij't)', liy mini i|>til:il ion wilh lli<- linp-n« over 
ltu> M!ul iif fnu-mrv und liy jin-Nturi' mmte from Hitliiii tJtc 
niw^tril!>i bya pnilit- ornslrel ilinvtor. When the tlisntmi- 
nu-iil i" omv iii>rnftnl it i» imt ii|>t to n-eiir, unci in the 




3se 



rRAOTCBCS. 



ni^)iirily iif ntM-K im dnwing in m|iiim). Befnn.- rpmrt- 
iiig 111 iinv iiiHiiijKi lilt ion nilliiii th<- niMtl cwiliw. tJie 
mui-uits tiK-iiilinirM' f^Uniili) \n- tlwT^mgUW ixM^iiiiixt'd (o 
n-ii(It'r iIk- <>|K'ni(ioii |niinl<i«' rn ilif juilicni. WIkd there 
U iU-|in.M'iiii) of i)k- fraKtiiinlN or tli'^pliKviiK'nt of llic 
M.-|>tiuti, utU-r i\irni-titi^ tlu- cli-lumiity l>y niUiii); the dr- 

Sn-XMtl fnigmcnt or lH-n<liii[; (Ik- Tt(-[)4iini iritu plmv by u 
inilur, lli4- iKirtf may Ix- lirlil in [MwilioD liy jieickiii^ ihf 
iin«al mvity liniily willi ii r<triii »f niitiR-|>lii- ^iixi-. 

Ill liilt-nil (liKiilitiviiK-niH ot itic luiNil U>iii« trum fnu^ 
tun-, iitliT rxtliii-iti-! tin- <li>'|>l:i>x-iiuiit, ii fiiiiill iiniiiiniM 
ti<-)(l iiviT tlif rni|;nii-iil liy Htri|w wt* wUhvivv (iWttT will 
Im' tlio only drfwiiiK n^iuinil. 

Phi. 7R 




III) • ^iiwut' hH vanmin ■!« ]L«^ tmtHL 



MiiMxi ir;iii!<li:<(« the i»i>sr. jifttr nvlm-tiini of tin- frair- 
inciitH, ntlii a hIhhi miillr, mill nttinlk-f^ lliv |iii<ii^ uiili u 
flrii) III' jiluHtiT i-McvkiiiK till* liriilp' i<f lW ikwc nix) t'u^t''iH<d 
III ilii- i-tiiln iif thi- iMi^Ui-. Thi- iHiilIc i« kiiii in [HMtiiiii 




k' 



FRACTDRBS Ot TOR UPPER UAXILLA. 3S7 

f»r <Mglit or tvn <]sv0 (Vifi. 2.^:t). Itolirrts, in nurs in 
nliii-li l)H-rt' in II ilU|i)!tiV'ii)<-nl oC tlic (?irtiliiK>ii<)<i!> |>»rtion 
of till' titiM', iifU-r ntliK'iti); (lie iK-f<>nnity, Iii)l4ti< (lie ]uirt» 
in iKMitiiiii bv tniiip^xiii}; tht'iii witli hIm'I \»nt. 

(*r>ifiiw lu'tiKirrt)ii<:i- rkituftinHv ihi-iim iirt»-r Trm'tiiiT of 
tlic iiuNiI Ixmi-n and iiuiy ruNjiiiri' |>1iiK};iiit; *>( tin- nana to 
ix>tilr<il il. 

l-'ntiiiircK iif t)H' uiMil iKimtf iin* iiMuilly firtiitv luiit^tl 
in fnini u-ii to twflvv dsvo, uixl ilrmiii)^) iu<t>' ^' di^fit-nsMl 
willi ulU-r lliiH timi*. 

KltACTt'BES OF THE MaLAB BrtKK AK1» ZvfJOMA. 

Th*-* fractuiw are uwuillv the n-^nlt nf dim-l fiiiw; 
till- di!<|)lu(i'iiit'i)t iri ii|>\\iird nr iKirkwnrd, hixI mIumi llir 
xytconiiilir an-li is brnkiii the fni^itunls tn>ni pniwiin' 
li{)i(ii lli<- iiul-v^'Ut mutu-lf or on llu' ti-ndon of i1h> tt-ni[Ktn>l 
miiM-lr niMV intcHi-iv with th<- niovi-nKtil oftlM' Iiivicrjiiu 
in nwHlii'iilioti Tliin diH[tlii(i'iniiil 'm ii)i'ni-liil bv ititlin); 
iloHii ii|Niii till- rni):iii<'tii anil i-li-viiiin^ it or bv |iiii.v>inK n 
tfiuu-iilnnt into ilit- t'ni;;nii-ni iinil nti.-in^ il. 

Onlwiinl diiii'Iiui'iiiinlii niny Ix- iiirpni^I by jm-Hrtin' 
iind tbf aimlimlion I'fn nim)in-Hi«. Tin* driTxin^ or rlu-w 
fnuiiin:?4 auor iIh* ntrrtvtion of th<- di-rorniity, <-(>n!iii>t!> in 
th<- amilii-nliiin of a Miinprtiw of lint nviT tW niiit of fnic- 
tnn-,lield iu iHiniiimi by r<tri{Ri of lullii-nivc jilunti-r or ii 
l)n]idit)tf. Tlwre is liltU- tftidc-tM-y li> txiMirrcMif of tin- 
drfomiilv litter it tins Iniii iiinii-fi'il, iind union nl iIk- 
scut tA' Inutiin- i- itHiiullv linn nl ibi- i-iiil "I" iboi- un-ko. 



FiiA(TrH»i UP TUB Ui'i'Kii Mamu.a. 



Tlii'W fnii-lnn-" nmy involvi' ibr laxly, ibt' nii.^il iinx^iec*^ 
or t\ur iilvmlnr piixi-nM^. Tin- di>ii>liuv»iv»l klionld ho 
ciirnvltH) iiikI ifany tivtli )iiiv<- lHfndia|)liHfd llivy shmiKI 
In- rr|ilii<«il : if tlxTC in mmininitlion of the nlvroliu tlii' 
liftii in ll)f w|iiimtc frnfinicnii' nmy Ik- fncli-ni-d to|rt-tlH-r 
by tine win- to lix tin- fni;;itii'ni:< iind bold tb<-ni in )>lii(-v; 
aiul till- tt-ftb of iIm- loMiT jiitv nboiild In- Imtiiglit n|) in 



«B8 



rttACTURSS. 



ntitfau!! with lli<MN< of llic iipiirr juw. him) itu' jawx lOioultl 
Im' iHinmtl tiitri-thcr Ity tlir n|>}ilii-Htioii v( a ltiirton'f> or a 
(iiliNMr.t )>uii<lii(:rc ( I-'ig. '23i). luu■r-^\l'uta\ fiilinio, mti<l(> 
i»r "-"rk wiili KTiBivtM t4) lit llif tix-tlt. <>T itf Kiilt;i-|n-rirlu>. 



Pm 2H 




I'WMlaj IM hMnn of ib> i>i-|nt jbh. 



BIT al"t oni]ilii_v*«<l ill lilt- ilrc:^^!!!!^ of tlipm- fni(>ttttni. Tlw 
|aiti<-ti( •liiMilil iKil In- iillounl ti* iiiovf ttir^iw in iim-licu- 
liiiii, mil) >liiiiil<) !»■ iiiiiiri'liHl liv liijiiiil mid m-ini-wili*) 
riMnl w)iii-li iiin U- inkoii uirhntit n-tnovin^ nny tii-tli In 
^iv<' >>)icin' fur itx intrmliK-lion. 

The Imiiiliip' *lioiilil !■■ ri'iiiovi^ oviTv H(i<(>n<l or llilnl 
tiny, ntwl nl^iT lli(> fmi' uiid wvlc luivr Im-ti nitonptl ttfi* i 
wilti nl'iihol it hIiiiiiIiI In- ni)|i)iliii), 

'Diiw frui-lDn-* tin- iiMiiilIy liriiily iinitiil n1 the *'t»)l ttf , 
r<Mir or five wivkfi. nixl ilffM-inpi iiuiy Im- i|i«(H-iiM<<l with 
at itiio liiitf. 



l-'ltAtTL'lUW nr TIIK tiOWRR MaXII.I^. 

The loMiTjnw tiiiiy In- limk^-ii iil or Dttiir lli«- HVitiitliVKtM, 
tJir tturst iiriiiiil fx-nlof fnuliin- ticiiiic luiir clit- iii>-nial lom- 
iiu-ii ; it in i>lli-ri limki'ii iit t^o jiliio-oiil utio, miil rlir fiw- 
tuTvn an in luiuiy oiara n-tiO^-ntl ti>iii[)uiitul by UuvnUiau^ 



rKAOTURICS OP TRK LOWIK HAXILI.A. 329 




'>W. 



of till- iiiiiiviuti iu<-nilimiH>, or (Jic injury mav iittiHii^ in ii 
Mcimrnlinn of n imrtitin of tlH> iilvwilnr jmirtw of the l»one. 
Tlw iltiwinp of H fnu'iiin- of Uic* lnwvr jnw, aftt-r rwlw;- 
tiig till- ili»{ilim-iiu-nt Mid rf[»lii-iiig tuiy lootieiied or 



Wm.m. 




rmo-ttUmi liMnl— > ■iiMrt Ita lOMUn ol Ui> lotwt Jaw. (lUHtuaM.) 



830 



rBACTl'RtS. 



<t<-(ni4i««l li<i-lli, cDiHl^lf in npjilyiti;; ii [nul of lint (imlrr 
|)m< (-liiii niti] )>riii)Hii)C ttic jnw ii[> ii<^iiitKt liii' it|il><T jaw 
mill ItiiKtiii}; lh<- t<itDi|>n')vi in jtliwi- nivi] ■vtiirinK llir inww 
Kmily ii)<i>niiui Itv ii[>)ilvin};(i Itartim {Vig. 'i^i'A, uhuiUhhI 
ftdtl'iii iir (iiliHtn'^ iHiiMlnp*. Tlic Imiiibip- .'•lioiiM lie ht- 
nitiviil um) n«jii>lii^I itt [li<- <'i)il nf iIh- Mtimt) nr lliinl 
day, ttixl iit like niicrv-ul.-* (liirin^ llw ithiiw uf tn-almrnt. 

T\%r JUIlictIt ■•ll(Mli(l Im- M ll)M)tl It li(|(iui iir M-lui-MitMl 

iIhi, ti4>l U'iiij; iillowa-)! Ii> ctx-M any Mtlii) I'ihhI imlii tlin 
unioii lit Ux' MTil lit' rrniliiD' U-x* Imviiiiii' linn. 

A very tijitiKliiciDry Irnijuirnry (inrsButj: fur f'nu-tnn> of 
tlir Inner jiiM' rdDMiKti^ Ui tliv ii|>|>li<ution uf n runr-lnilnl 

fMLST. 




«ri*MMbe*nlMtat«MdiacbtiL (KoAoini 



Sinii' Hin:ii>n!i (irffcr lo iih- mi I'Mrniiil Mplini nxmliliil 

JV(>ni (paMfUinnl nr t^itln-pcnlni lilUtl i<> (If' i-liiii in llie 

<lnw<iit)i iif tliia fnicKin.*, llitn In-ill^ |mmI<ImI u iUi iTrftitii lUul 

hvlil ill jituiv liv It [tiirlon or i iWimm 

rm.m. ImmliiK.-. (Kig.'iiW.l \Vlicn-lIifn-i« 

rVN ^t niiK'li ittfTii-iilty in ki-<-|iin^ the Cng~ 

l\l ^H nirnt" in jnHitioii tln' nirinK (■■p'tlirr 

\^^ ^^ >>r tlii' to-tli nuty Ih- ('iii|ili>yii),<>rlhv 

\^^^"^^^F t'mpiH-iiiw nuiy in' jHTlonitiil with 

>■ W a drill Hitil Iti-ltl ill |ilii>i' liy u MruitK 

^^^^^M F«llv<T-»in- ^iilnn': iiitcr -dental 

Milifltn 'if iivHhI nr K<l"'l-|>''i^''ul MK 

illMn Minictiiiitv lUHil for llitri ]i(ir- 

MiM'. I>iiriiit: (lie (iMtrM- nf llit> 

lrt*tnunit in Inutiiiv of tlic jawx l)ir nmiiili nfri-n Uiiiimti 

\vty ofttiiuivt* rmiii t)H< fi'mit-ntjir inn nf tltr miIivh uimI 



tIrlUil iBoulitod In M iMn 
dUiMUM) 




I 





FRACTURES OP TXlft LAKYNX OR TKACHRA. 'Xil 

(li>k'liarp<H, ami it in wi>ll to iinc rniim-iilly a moiitli- 
wii4i Iff riilonilc- iif )>»UMti, tiiu-tiirc <if iiivriii, (ilycorin, 
»n<l fvitliT. 

Tliv ilnw>!n>!>) lor tnuiiin* nf tin- Iowit juw iirc imiially 
»{<|ili(i| for rmir or nix Mivkn, tin- union nHunlly liHng 
■|itil.' (inn lit tin- will of tills time. 

FnAfTI'HK OK TIIK Ilvolll H(INK. 

In Irwtnn- of tlic hvuifl Itunt^', if 4liii|t|(i'vincnt i^xislx, il« 
rttliK'tion in tiu-ilitutttl br prMMiiv maiU- witli tin- liiigvr 
in thr ptiurA'nx. 

Tiio Ircalnic-nt 4t>nsi»t8 in cnfuroiil i[iii4-t nwl tin* uiv of 
opium if tviijrli is A jironiincnt >tvin[>tont. tnxl tlir inflnm- 
tiwton' flvinfrtotUB niiiv ni)iitrc tlic 4-in|ili>vnu'nt nf ifiivi- 
local tfrntnivnt. A ilnwing ituiy Konu-limi^ 1m- 4-in|>I>>yitl 
witJi B()vanta|i«, ri)iiMKtiii); of » Hjtlint of (nsu-buunl ur 

tWr oiouMmI Ui the nnterior pi>rti<ni of the u«'k. 

PRACrUH»l (IK THK LaKYNX "It Tl{AniK»\. 

In fiwtiin«"f tliv liirynx or Inii-lifn wln-n- llivif in little 
liivi^iMvuirnt uiid •lyx|>n<i-H in not insirkitl, (tii- {itirlK i<hoiilil 
Ik- <'ii[i|Nir1iil iiy tli<- H|>]ili<tilion of coiiiimwii-o of lint Im>M 
in pliMV l>y wtriiw of iutlui>ivc plivit'T. If, nil tin- ottM-r 
liniiil, tilt- n-Hiitnition !>■ ■■inlmrni'M'd or tlii-n- )■• fni' •■.v|ii^w 
lomli'iti of I>1ihhI, irni'lK-otoniv kIi'iiiIi! !■• iH-rf(>mu'<), himI 
if till- iiijiirv Ih' wiitiil in tix' Inrvtix llir ili->|iln'T-ni4-ti( of 
tlw rni){iiMiiin inny I"- ovrni'mi- liv iniini|iiiliitioi) with tin* 
finpT or ■ ilirrc-tur ttmiiij^i tin- Irni-lKwl wiuiml, nt ihr 
liirvnx nmy Ii4> ihwUiiI with n Mrip of iintiM*|>tir jfiiiiM- lu 
iimtnil hniitirrliit|fi- or lioM iln- fni^iii<-nlN in |MMitioii, thv 
)Hitii-nl ill tin- ni<-iiniini<' linnlliin^ tlimti^i n Inu-lii-olnniv- 
tiiU' M-i-tinil in <li4' IntrlK'iii wound: tin- |Kii'kin); nitonlil 
U- n-nio\-it) in n five ilnys, tlic tnu-lii-otoniy-liilic iii'iii); 
[K-niuitii-ntiy n-tnovi-il ok K<on lit tht- |uiti<-iil iiin lirralliu 
iimifortnlily llmwpli tltp liirytix wtlli tin- inM'^Hiil wound 
I'liwit. In rniftiin-H of llii> tmrlira tht> o|ii'niii); into tJwj 
iniriidi Htiotilil Ih- In'Iow »t uI tli<- ■Kilt of injury. 



.18-2 



FBACTDRKS. 



Fractur«a or tbe Trunk. 



FKi-EV. 



Fkaitckim op tiik Riiw. 

Kiiu-ttinw (if l\w riiw ufr morv rntiuonl tiinit Inutun-ti 
oriiiiy olJii-r iNmi-H of tht- tniiik ; cIk^ rilw tiKnt iitiiiitHHily 
linikot) nr*.' llwiei' fmni Ilic loiirllt to lln- Icnili ; tiw mii«t 
ii>inmi)ti Knil of frnt-Uin.* in miir t\w jiiiirtinii iif tin* wwtal 
MirlitiifrcK or itt tlio aiitfh*. Ttii- il«'**iii^ i>r fmrtiin's <>f tin- 
rilw i» Ih^i (uiiiiiiiilt^tii-<l l)v I'liwl- 
iijitri); t Ik- Mill- "f ln<- ■■ll(^4t on wliii-li 
l(i4' rib or HIm iin- lin>k<^ti with 
liriKHl sinifM of ii'llHt«ivi' (iliiciliT. 
TIh- txllxvivi- ntrnfM fhoiili] Im- Iwo 
iiml II luiir iiii-lii^ in viuhh itml 
lonj; •■riiiii^ti lo t-xU-in! fmio tin- 
fpim- to till- miililli- nl' tlic I'trniiiiii. 
Till- >>lni|n lire Miiniitil ntiil tin- 
lirxt .■•inii) in finiilv ii)t[tlii-<l a itliort 
(li^niiw Ih'Iow th« »«! of fnu-tiirr, 
(•xti.>ii(linif fniiri llii> i«|iiiH- U* the 
iiiiil-slcnttil liiH' : a niimhi-r of «»• 
■■ciiiliiitf ftrnfm iin- n|>iilic(l ttt iJitti 
wav, iwli fira]t ov(rlii|)j>inn the 
|>ni<i-<liii); OIK- liy iilMiiit <iii<--lliin] of ili< wiilth, until hnlf 
tliu <-h*-iit in itjvon'<l ill. ( l-'ij:. ttli'.) Ttiis drci-inf; iisii- 
Hlly itivm thv nutitrnt niiicli <i>iiifon, ami thi- Htrajie iintl 
iHit tM.- n'ii<-vro<I tiiitil t)M\v Ih<(x>iiip iili^hllv KiciM-itril, ii«ti- 
iilly nl lilt- <'ii4l 111' II WM'k or d-ii <lay^ ; llu-y hIuhiM iht-n 
In- riiii-Mii! ill iIk- Niiiif niitiitiiT. 

Tlx- ilni^ii);^ lor fhii-liiri-s of ili<- HIm un- iiniiiilly ilin- 
|K'iiM-cl H'illi lit tlic ■■ml of llin-*- or four wt-ckM, lut rcjiair 
uf llit> fraiiiin- if p-iiomlly well ii<lviiiH-c<t liy lliiit ttin<-. 

A MliofuctJtry Uiii)Hir:irv iln-winj; for fnw-liirce of lite 
rilui (^mitislH in MimHimlint; iIm' I'liifl liy n lirrinl liimk-r of 
iliMit liiK-ii or muslin ; inttitil, !«iim- Miryo-iK jin-tir (o 
•-n)|itoy lliiK iln-v-iii^ iliiriiiK tin- imirM- of Innlnii-ni, liiit 
m n mil- I tliiuk it ie ihiI im gwxl u dnwiug as (lie lullic- 




MbMln piMtoi ilnwIiiK 
WlkMninarUMrllB. ttliit' 
ILTCN,) 



rRACTUBBS or TIIK STBRNUkt. 



n33 



^H TImw* rnwdircs olVii bikr |>liu-)> lU tlu- jiiiK-lion at thv 

^^ cnrtili^m with the rilin or iii tin- ImmIv hI tin- rartiliii^-s, 
iind Uh' iiiiioii "f (lie fnn'ttin' iixiiiilly tnlti-s [ilm'e \iy tlit- 
]inMliiiit>it) of II imi.v« lit' U.ni- nt tin- *iil of frjii-Hin-. Tho 
iifTf«iri|r fur fr«i*liinf "f tin- iiB-tiil mirliliipT. lYiii.tinl^ in lh<- 
ii|>|iti(iili<)ii of HtriiMof iiilh<'.-<iv<- |tliu<iiT niiiiltcd iit tlif nanw 
iimiirMT iu> fur fnu'liin- of llir riiin, lux) tlic (lnM<iiig should 
U- n'tnliHil lor iilioiil (lie .iiiiiti.- lime. 



nivp planter tlruiKin};, as tlw furtni-r vunfiiKw iIh' in»vi-iiiiiibi 
of birth sides of the chivt. 

Fhactuhbs ok thk Ojhtal CMcTii^iiw. 



KHArrruiM »f the SrKUMtM. 

KnMHiinii 4>f the Ktvriium are mrv injiirim, IhiI (lim^tAxix 
■if (he IxiiMt* *>r tlir uteniiiiii in a inure (tuniniiti aivtdeiit. 
The tInwiiiK for wiIht vftrirty of injury l* the .■mnir, nn<l 

Fni.3N. 




All halve plwln An^ng Itir tnnan 



iiiifiKti ill the u|)]iltiiitii>n nf ii i-it|ii|inMa over the mtit of 
fnt4-tim- hchi in \Aniy hy ii linnwl ImithiKi-. "f. I"-Hpr, liy 
HtriliH of ■(Htifivc ]itiiHt<T ( Fifi, 24lt), ii)ililie)l mi na |o eover 
itttil lix lhi> niiti'nnr |Mirtion of the i-liivt, mveriDi; l!»i* 
I'Uliri' Irtish of till' nlerniiiti. 'I1ii* tlretwiii^ vltoiilil Ijo 



S34 



FRA0T(TRR8. 



reUiiiicI f'lr lit li-aiil Toiir w«irk<«, Ik-mi;: n-n^^WHl if it 
oCHuuj liHtev M tliv cad uf a iveek ur ii-ii Jays. 

FRAiTrntl-K OK THE l*KLVI«. 

Tlti'M' rRidiircH nrv Dfli-ii M-rioim iiijiiriiM fruiu iiiijiliia- 
tiAii ol'thi- iK-lvti- viMTm. '1*1)4' ntliK-fion uf tlti- dUiiiliu-o- 
iiH'iil HitniiM Ih- KrHl fli.iiiin|iliT<liiHl sw fnr a^ janviilili- lv_r 
rxtiTiinl inxiii|iiiliitioii, M^itliiT uilli itiliriinl iiiiihi|Hitii- 
(ioii l>_v iIk' lin)^-i> iiitiiHliii'i'il into tin- iii-liiiii, or into tllv 
VN^ina ill llic fi'iiiiili-. 'I'lic [xiticiit siintilil In- (iliui'il iijMitl 
n tirm Ih<i1 on IiIh liiuk, with tlio kmx-n »li)rlillv BcxmI nvcr 
ii pillow, anil llii' I'lirtft nlioiilit Ik- kigii iii nvt liv Mirniiintl- 
iii)£ Itip [M'lviH willi liniail !<lr:i[F< nt' lullxvivi- |<tiv^i-r or ■ 
iit»iit niiiHlin tiiiidir, nr 1>v u rmiily ii|>|ilic() |ui(l(liil jm-Ivir 
In-II. Tilt' liijHJoiiitn F>liotil<l Ih' k<')tl III n-sl liv tlii' ii|>jili<«- 
l!iin tif iiu»U-'>i>iin1 M>linif< or liv mukI-Ijki^h. 'riivdnwoiugH 
nliiiiiUI [h> n-tiiiititl fur u ihtiihI of nt liti.-'t mix woi>k». 

WIk'Ii thi'wi- rnwliiriMi nn- coinjilitntiil by injury of llw 
jwlvii- vtMvni viiHiiiin ii[M-mtivi' |inH^-<lim-.-< amy U- rr- 
i|uin-(l, wliii-ti vrill »iiii|M-l IIm- Mir)^'uii U> ttMiliCy tlic 
tut-tliiHl of (Int^iug. 



FlIA€TlTUEH OF THK SArKPU AK1> VfXI'VX. 

1*li(.- cirpwinp of fmttiirm of tin- MiuTiim, Jiftrr rtKi-linjt 
niluction of (lie l'nmTii<>»t»^ i\» far tif )M>»<ilili' liv pn'siiiin- 
frotn within the n>(-iiiin, iiidmuik in llip iii)|ifi<:iit»m of 
bi^RuI iwllirsivi- !<tni)i.'' nroiiml III*- tirlvK iiikI tin- ]iatti>nt 
h)>iiiiIiI I>i- ki'|>l n1 n*t in Uil. Wiii'ii tin- eoeeyx onlv ia 
rnK-iimil, iihi-i* rinliir-tion of tin- ili'^]iliiii-ni>'nt t)ii- [xitu-nt 
■iliiiiilil Im- coiiliiiiil III Ixtl aitil llii' Uiwi'Ih uliDiilil !■' k('|it 
nt n-til liv tin- ij»r of o|»iiini U\ niipiMieitory. Tin- |uitit-iit 
hLouIiI (h- k<-|>i III n-Kt fur llint- ur four wlt•k^ aitil, in 
nuo (>r fVartiirr »f tht- wuTiitn, th*- dnmn^ nliouUI K* 
ri'tniniil for lliin liint'. 



PRAOTETBCS OF THE TKRTKBBA. 



«so 



KHA<rrrB»» up TIIK VKirrKRIt.t:. 

Kncttinw ul' tlH> vertebra an tiwAVn ini>Kt svritniit iti- 
jiiritf . not oitly front the injiim-H of liif htmc* tlivinnrlviy, 
Dul a\M> Iniiii tin' liuiiui^o lo tlit- 8(iinul i-tinl, tiK'iiilinimts 
nii<l iicrvca, ivlik'h iitU'ii aciioiiijiank'H tlieiii. 

Ill tnu]i!|Kirtin>c, or tMniin^: in \kx\, u |nticnt KiiHtTinti: 
from fnicinn) of ihe vertf-brip, (jn-at parv sImiuUI \m cxt-i^ 
riwd, for n»i);li *>t ^iKlil<rii iiiDli'inv mi^lil iwutv u <li6[tlii(i-- 
inviit of the fr:Lt;iiirfitit uliii-li iiii};lit, l>y iiijiiry of, or 
[irorntrr ii)Hin, the •ipiinl oinl, rapitlly |)nive liita). 

Ill the tniitiiK'iit of frji-tiirra of (hv r>]iin<.-. 'if tin* ilo- 
lormily 'is nuirktti, cfl(>rl« slintiM In< nuulc to mlutx- il liy 
i>xlt*»Htoti nD<l nKiiiicr-fXtvtLoion, atiil tlif n«ii1t niiiv \tv 
Kiittifvful, cfifK^'ially if the fmrliirr !«■ a-^M'Uititl with » 
ilisliM-alioi) iif iIh- viTti-lini'. In soiiic ni^'^ the iiw of 
HTinntii-nt ■■xlcrinioii liy iiii-iiiiii of wt'tb;lilH iitlm-lK'U to llic 
I'iifi, ^lioiiUli-r^, tiiii) i-Ih?.! liy ndlii^ivi' pliinn-r mid lanilflf^t-H 
lias Uvii MiiiT«nfitl ill rtiltit-iiiK llii- ilfforniity. 

Tli« [iiirtt.til iitHiiitt) Ih> |>1iui-<I uimii liiti Iw-k iiimiii a liu] 
with A )inir inaltrcnM, or Ix-tlrr, if it i-»ii Ih' ohtainei), a 
wiit'T-lx^l, whii'li o >■).■< i^L4 of a niWu-r iiuitln«ii filU-J willi 
wiiHt, whii'li ilUtrilmt^-s llw wriirlit of tin- imticiit'ti ImkIv 
I'vviily oviT llir Mirfiu-t-, Wlmli-vcr torni of Uil !•<> omiI, 
llif ^nniii^ oih' rtlioiiM W ■■xi-n-iwil to kwn tin- )i»tifiit 
a)Miltih-ly rWii, aiitl tlir luirlA of tin- IhmIv or liinliH wliirli 
an- cxnoMxI to |>n>t(iin> fnoiil<) iiv fr>s|iHi)lly tiiitlicd with 
alcoliol or Mui]i lininirtil ; iiitil lo diMtrihiiti- tlii" [irrwon.', 
Miuill {Mii- t)i<>iil<l 1m- |)lna'<-<! iimltT tin- |Kir(!< and •-)iiiii|;<.'<) 
nl iiili-rvnU. T1n"«' |)n-<iio1 ioitn an- iiiti*Niry lo jir\'vr)il, 
if jHiwil'li-, iIh- foriiuilioii of I'xtriiwvi' Utlwinti, wiiifh are 
a fnv[n<-iil nml tn>iililt»i>iiii- iitiii|i)ii-alioii t>f iId-m' injiirim. 

TIk* lionvln iJiotilil Im' nin'ftilly untt-^Kil, anil, if <<on- 
HtJ|Mtion U |>n«iiit, it hIkhiIiI b>> n-li<<vitl Uy llif im- of 
i-ii<-t)inl» ; ao>l. a* it i" not ilfwiralilt- to lit) i\u' )Niti<'i)t t» 
xiip :i licl-|Kiii oinli-r liiiii, till- iU-«'liiir«tw mn t"- n-<viv<'<l 
ill a tinl (ill |>liilt- ]iti-lKil iinilcr tin- tliiittL- aiMl biilbw-kit, 
ur »ii jHwlit uf uakuiu ur ultl luuuliu. 



3.16 



rKAOTDKK». 



Tin- *iw of iIk' IilaiWrr bt nltut n miUtt-r nf tin- ^n-Bti-Mi 
iiii|Kirl»tiiv; (lie ixtU'ntiMii which nt flr)>t <>xi^ii shotihl Im* 
n'lii'V<H) hv tltc ii«(- of II lh-\ihh' nithrliT iiilnMliuiil witli 
gn-at |!ftiU(-ii<-HM, iiml when ii)(i>i)liiii-iiix- Ml)M■^^'<■tllS iUk 
mlli4-t(T Hhoiili! iilsii Ih' ii.ihI It! ii)t<TVi(ln ; tliv fiii|it'>ynii'iit 
i>r n M>ii iii.HtniiiK'iii, if iiHi) vriti) ('iir<>, I." ii<>i n|it lo 
]inKlii4f liny itijiiry tii t\w iirrlhm or hhiiMrr. 

Thf iiii|>lovnic-iit of 11 |>hiKti'r-of-I*iiriK jm-kfl hits \M-n 
foIhrn'M), in wtiw inMf, Ity ^mmI n^iills, iim) it iiuiy In- 
ii))|>IiM iiirlv 111 tli<- ■n.'V, or it iimy \w ii-vtl nn<T th« 
)iiuii-ii( hii.'i ixi-ti ki'jit ill Ihr nfiiiiilM-iK |MK>tiir<' (i>r sumo 
Hifk!i ; iiy il» iim- il ir< •il)<-ii |)«HHihh> (o gi-t thi- |Kiliiiil iiiil 
t>r )h'<1 and alhiv him In nit tii h rhiiir. 

In fnu'titrort involviii)i th<-n'r%'Mil wrti-lim-, inn- Hlmiild 
W PKon-iM^I in liAiiig <ir iiinviim the hcn'l, hihI it ix oflvii 
nt'iiclvaiitii}ti-in tlic^-<mws U\ njiply i^Juirl i^iiil-Uiics l» thv 
fiiiliv of th<- ni^'k anil hciid, to ^iv<- itildiiiona) livntinn l<i 
ltH> imrl" nhih- the |ui(i<-iit in in (In- n-(-iiinl>ciit )M»tiin', 
or, if lie i.H iillowi'il til ^H out nf IhiI, to n])[>iy ti mniihhil 
hiitliiT or |iHKt<-)MMnl Kpliiit lo tlti- iHirk, )4iuiilili-r», Mid 
iMH-k of thf UntA lor (lie Hiiiiir piirfxiMr, 

Tn'i>htning of ihf Jipinc in him-!* of fnwtiipc i>riln« wrtt*- 
htif, to n-niHly the diKiOiw-i-inrnt iiml n'lti'Vi- tlii' i-onl fmiii 
|m?«inn-, hiis Ui'D niinnimnihil iiix) cniphivi^l in Mniif 
nM-M, iiiK) iilllioii^h tli<- iijM'ntlion iiiidiT Ktru'l iintiM'{i|ii; 
iiH-tlioiItt in iiot iittiiiihil with niii^'ti riAk, ihtt n-^inllx oh- 
liiitwil ii]i til llic pn-Hi-nt limr Miinvly Mi>in lo wiimuit ib> 
{K>rfi>riiiiin4r. 

Thv cotirsi' of iri'iititiii)! in nww of fnu'liin« i)r Ihr v<-p- 
tohm-, if the ]intii*nt iloi'^t mil .Hini-nnili to liit- ininry in a 
ti-w dityn or wii'kn, oOrii 4'xli-nilA ov<<r iniiiiy nionihs uni) 
nxi>v<-n' if ofiiii niiin- nr h-Hn in<f>n)j)h*lL' ilh npinbt tlltt 
ftint'tion iif iIk' jiartK hi-hiw the mwl or fniiiin-. 

rilA^Tt'lllW DF TIIKSKin.1.. 

Thi- rniilim'iit of fhtrtim-> of liio -kiill, whrtlti-r t<inii>li' 
or o>>ni)Hiiiiii|, ili-|H-i)d« hir},n'ly iijion the luiinn' of the m- 
jiin' mm thi- iiiimitiun nf iIk- i-miiinl (tinirntn. In niliiitiK 




rBACTURKS or TUK CLAVICLE. 



337 



frai-timw iiiiniTMtiit|miiK-<) willi (rrolinil itymiimiiw no 
"]iiviul iln»wiiiK U ro|iiin-(l, but in <-<>nijMiiih(l rnu-ttiixst 
wlivn' luuM- fragnK-iiU iin^ ])ru«-tit, iIkio- :4hoiikl In- n>- 
movnl ; utid if Uwrv \n iin (Iritrcwiiiii iif the rn^irnbi, 
«n<) if no trn-limt hiyin[it«niH im- jhxwiiI, rlir u-oiiixt 
i4iuni<l tie ilr!iin('<) un<i <-I<w4i) mi<i ilr<->w<l anliM-iXK-nlly, 
t\w clnminpi lM-iii|; Ih'Ic) in ]iliic« hy a ntiirixtnt iKindii)^' 
■if till- Ih-^kI. 



Tliv mti<-tit hIkiuUI (■- |itit to itrtl, iiihI th<' iim' 'if ilii U'i^ 
rH]i (■> llu' Ih-ihI i» iilU'ii of Krrviii'. Tlic iIh'I :>li<aih] Im' 




I tiv mti<-t: 
]i In iW Ih 
n^lriolt'd nixl (iilntnt'l luid ct|)iinn iiwl lir<>niiili> M' |Httii.siiinn) 
i'IkxiIiI 1h- iKliinnt<>tfn-<l ; it ik ucII to kivp tin- uttii-nl Tor 
n ivw viifk* ill II (piict nixl iliirki'iiccl n>«ini. \\ lu-n' ix-n*- 
lintl Kvniptoinn iin* iin>«-iil, fillior in Mnipli- or iinniMitintl 
rn»-liii>-*>, nnc) (n-)tltn)ii)>: ■;• n>">rtc<l to, tin- linwiiij; of tin- 
u'imumI in nimilnr, him) t\w raiiu- ^-ncnil tntilnu-nt shouM 
Im- u<1i)()t«'(l. \n hII niftv of frarttirv of tUv nkiill, w*bil)M.T 
HilijirKfl to o]H-mtivi- (niitnipi)t or not, it Ip vrrll to kn-p 
llic ]iiili<'n( lit n-vl in Imx) for tlmt- ur four uci'kK uml lie 
FilioiiUI W- tntitioiit^l to Hvoifl cxctvNi^ lutd rJtotild i>ol 
n-snine ni-tivo work for wtntc nwntliti. 



n««lur«« of th« npp«r Bxtrsmlly. 

KhAITTHKB ilf THK Ol.AVM'I.K. 

Fnii-tnnw of ihv rlnvi<-lL- niiiv Iw (i>ni|ilFlc or ii)mni|ilft«', 
anil ill thv liittcr viirii-tv of injury ihv dcrnrmity it not 
iiMuilly vrry ituirkt^l. The indinitioiH for tnnttnvtit in 
coiniili'Io fRK-tiinw of iIh* (-Invidf nn- lit rt-liix tlir flcnio- 
i'li-i<to-niiii'toiil innM-lr, to pn-vi-nt tin' uci^lil of tl)i> amt 
on till- iniiin-d Milt- from >lraij:)!ini;ili>wii (licoiilt'rfni^'niriit 
of till' i-fiivii-ti.-, iin<l Ity fixing lli<- siiipiilii, Id uirry iIk- 
iittiu-lml cxti-nuil fragment oiiiwxnt nml forwnni. A luinp- 
iinnilN-r of iln-minp* havclHi'n ili-viwil hikI iirtt) loimxini- 
(tliih tl)*«i' nltj(<t^, TUi* ln«lm<-nt of fmi-lurra of the 
I'liivii'li- liy fKuritioti is nuiimjilif-liiil liy (ilarin); tin- (intifnl 
ill Ix-d oil Ins lM''k iijioii n tiriii nutlln-Ns with u low fWhw 




838 



rRACTPHSS. 



iinilcr liiH Ih'iu), hikI tiw iinii on tlio m<Io uf injiirv nboiilil 
Ih' liiHh-mvl (o thv nidc of iIhi diml l>_v ■ fwr rin-tilur turns 
of a Iieiii(li4;i' )inM*Iii>; u^nlIld ih*- nriii iiiitl duvl ; ihv i|(>- 
liirmily U iimiiiIIv vt-rv onticliictorily rciliHtHl ii)H>it tlii- 
|uitH-iit iiHxiiiiiiu): tlii" jHniiioii.iitKlnlt'-r rlinv w<■^'k^' ixwt in 
itiiH iHwilioii r)ic ittiioti Up'iiinilly Hiillicii'tiily Hriii liuillnu- 
lli<- |icilH-iit to |{ct mU »( IhiI and Ik- iilNiiit willi tlic srni 
InkhkI to lliv M()i- or iiirrktl in ii (Jing or willi ii Vi-I)k«ii 
Ixiitiljif^c »M)liis) witlimit liny ntiinvii<r of tin- dcformil v. 
A witi-mi-fiiry tnnfnuitrtf ilrfminij for fntdun-* tyf ttiL- 
t'luvi<'I('(iiiir>i>i» ill llic;i|i|>lii-iitiiiiiol';i toiir-tniliil iKiwIa^*; 
ttw ImiHlflp' in iiuhU- fn*ni u piwv of mtuiliii Im-o yards in 

rw>.»ii. 





Pmu-MtM iBii'lftcr Kir (HMlun- uTcUrlcl*. pillJ— Ji.l 

Irnj^h iim) foiirl'vM in'-lxf in u!dlli : ii hole ix i-iil in it 
wulrf nlKHit tiHir iiu'lH-" fnnit llo niiirifi'i. lo nit-ivr _. 
point <if tlif I'lU'W ; iliv tanitjL)^' ih tht-n r>|»Iit into Itni 
tniU ill till- line of \\w lioli< mid to wJiliin nix im-lia-H of il, 
till' laiatv of tin* Imiilji^' nlxiiild In- ii)>|tli«<<l i^> thiti till 

IHiinI of tlir I'lliow rcHiK in thi' lioli', ihkI ii foldii) lowc 
irint: |)IdiviI ill tilt' nxillii, tin- lower Itiil" .•ImxiM Ih' (HI , 
riiiLoiii-uiit'-riiirly, tli«' odit-r (Ki-lcriorly, dinpninlly inTtiaH 
tl»c i-limt luiil iMU'k Ui till' iiLfk on tli<- xidi' o|>{iu«ite Uitt 



FRACTURXS OF THK CLATICLK. 

Ill uf fnu-liin- iiixl Ht'iirvtl ; tin- rcnininiii^ t»ili> nn^ iit-xtj 
irrivtl AitMiiMl tho louvr imri "I" tin- flHvl iiikI mHriini! 
to lix tin.' ami to the miIi- uf tin- IkkIv. (Fijr. :i)l.) 
Ill fiMUV iiL-«(W liu- <lrfi>riiiit_v i» iiirni-rfil iiy tin- ii]i|iii<n> 
Hull »f !i iHWti'rior ti^iin>-()f-<-iir|it Inuiiliip-, llic I'Di-iiiriii oDj 
ftidir 111' iiijlirv U'iiij^ iiiiiiiil in .1 «liiij;, (Ftjj;. '2-l'2.) 

no. M'j. 




r<l|ui»«r'«lKlitdra^ng rorRBctimur tbeeUrlolu. (IIahii.toim 



Sai/Tf's dittaiw/ for tnu-tiinc <if fl«> clavielf coiisUtu of | 
ri> !tiri|te ol" aJhfsivp pliutlur three iia<I a half iiicli(« wirlci 
and tM'o yards in lcn;rlii. The first Mrip is l<K>ppd urutind I 
iIk' arm just IhOoh- uie asillnrv maiyin, and i» |iiuiK-d or 
fiewn) villi llie lon|i siifKi'icntIv njicn nut to nrnfitricl tliul 
arm. Tlic arm i^ tlien drawn douiiward and hitckwnixl 
until lltf I'lavic-iilaj' jHirtion ot' lh<' jH-cIonili!* iiiajur niUM'k' 
ie |iut •^iiltii.'iiiiillv ii|Mm tliG rttreU'h to oveniime X\iv lutioii 
«f till- ><ti-nH>-cli?id(r-mai«1uid iniiscle, and in tliis wray draws _ 
IIm.' tfti'nial rropmciit nf tJie riavidc ilnwn to its placp. Tbe H 
t<[trip i>f |>ln»trr ti; then carritil (iimidflolv around the Utdy 
and |iiiUKtl or Hliti-litil to ilM'lf on tlic imck. (Fij;. 2-i:t.) 
Till- Mt-imil t^lri)i is n<'Kt a|>|>)i(il. i-oiiinu'iu-in;: ii|hiii iI 
front uf itiv slioiilt[<'r of the ei^niid tiidc ; tb<.-u<w it ts m 




.t40 rUACTUBRH. 

riwi nvvr llii- lnw of lJii> stiuuhliT diaKimally lU'niMi thv 
iKicIf, iimk-r the cnKiw, <li.i)^>n»Uy itcnw^ the rmilt «f' (lie 
clierit In tlte [Miiiil ut' xtartiiiK, wlK>rp it m M.<nir(i(l l»y 
|iiniiin2 or sl-wiu^. A slit is mnde iii this strip t<> rcci-ivo 
the imiut uf llio i-IIhiw. Bt'fore ihp fllw^v Ih Miinirxil Uv 
llii' plii^tcr it filioiild Ik' pntM^I Well litnvunl ami iiiMiinl. 
(Ft«. 244.) 



no. 2t!, rio. Ml. 





I)*r>«'i dNwlBf (ur (rwUini nr ik« •i]ri«-»dnnljit(brtlmM«i«Hl tlw 

clailda nmUflpapptM. eUrlDla 8*eMi MKp it|i|>IM. 

Vrfpftm** drfiuunff iiwy hIhi In- li*r«l in iIm* imiliiH'tit nf 
t'railiin-h of tltf i-lavtcli-. ( Ki^, ^Ift.) A (iiinimiw iimy 
nl-iii In' Mit-iinil \iy llir vitImiiI tHriit "I" tlii;- IhiihIkp- iivi*r 
llti- M«1 (tf rrni'liin- if iiki<iI«iI. Tltr ii|ijiliiutiui) nf tliQ. 
Immlatfi- U il<-M-ril«<<l (|k. 59). 1 

III Niiy fiinn tiriln-awiiij; in wliicli (hr umi iu lirtil ll)n>ilt*>f1 
tin* ntili' iii' till' i'l)t?.t, it Ik wet) to iiuplv n tiililt'*! towrl tirl 
[lini- III' linl U-iwiiti till- iinii nml tiwA lu pri'vctit the 
Mirfiuiii I'rorii liccouiing I'XcoruKivl. 



FRACTDRRS OP TBB CLATIOI.B. 



341 



Fnni. 




ortlMdarttI*. 



A mndilH?<l form of the Velpeati drewing for frartiire 
of the cliivii'le is n|>]il!i->! air tollnws: A Hoft towel or |iMve 
of liiil is nUceci aj^iiiKl tin- side 
of the Uwv and over the front 
of the ohest, aud held lu position 
by a Mrin of adhesive planter ; 
tlu- arm is next phuitl in the 
V('l|ie»n [Mwiition, :i giNxl-aixed 
\Ku\ of lint is tM'Xt iippli^vl over 
the ^n|>iila. ami thif ts held in 
[ilace hv 3 broad strip of adhenive 
pWter two nnd 11 liiilf im-luw in 
M-idth and one uml a half yanls 
in lcnj;tU ; tins ^tnp 'n^ fonfiniiol 
downuunl and loruant «• loi to 
p!i*s over tlH- iHiint "f the cIUiw. 
imd is I'arrieil diagonally ai-nuw 
the chest to the tdlotdder of the 
oi>|)o«ite sitlc and is seeiiml, a 
^lit iM'iiig out iu it l» reeeive the 
point of the ellmw : 11 cmmpref*. of lint h next phuvl over 
the M-at of fratlnre anil lieUl in pliMv hy a -drip of iwl- 
iK-sive planter; an additional atrip of plaster ic tM-xt i«r- 
riexl from the HpiDe nroiind the arm iind i-ltml and M-tiim) 
on the opptwite sldeof tlie elie«l ; riniilar tnrniiof n roller 
I<iiii*lng4' are then |Mt>MMit around the elii¥l. imlntling llie 
iiriii. f'loiu Im'Iku- npwunl nnlil the arni if M-<-tin'ly lixitl 
|o the Itody, and the dreM^iti]; i-f linisliMl hy iiiiikin); oiiv 
or ivcu liiniM of IIm- third roller of [toonill. (Kig. '2-ltt.t 
Or iIh' ttinis of the thini roller of IV-HiinIt inny Im- applied 
lin«l, ami llie dn'Mfing iiuiy lie KniflMil hy eiivnlar tiiniH 
of a roller ini>ving ai>Mini] the arm ami ehtwl, extending 
from liie ellMiw to the •honldcr. 

In the In-sittnent of fnwtnn-" of llie Havirle in fhiblrm 
the Vel|H«u or iniNliliitl \'i'I|hiiii dn*>^iuj; will Im- finiml 
to In- the miwt HilihfiM'tory drcTxing to employ, mid hm thi-w 
ntifniB are [Mininiiarly aiit to diKiimuigi- llieir dn>»ii)tp> 
It is tvell to n-niler the dn-rvting aihlitionally ■<■(■»»■ by 
apjilyinii It few hitwil Htri|u of ailhesive plaMer over llir 



»42 



rBACTURKI*. 



InrtiK i>r tlif nillcr IniulMgv, Ibv dlripe trtllnmini; the titniM 
or llif ImiMlagc. 

TIm- iT-mitviil of <ln»iinjp( nnil tlit'tr n;«|)|>li(«liiiii will 
(li-|M>ml ii|Htn ilic iimifort of t)ii' jNiliciil iiixl iIk- ntiiiiiHT 
ii) uliich thtry k(v(> (Wir )><>Kilioti. Ax ii nili- in fnii-liin^ 
of llif clavif'lu tin- <lrcwiuf;s iinr rr-iit'iVHl at \\h- oihI >\l' thu 
HfiiiH) iir tliini iliiy, tlu' |uir(H iirt* iiiKiKi-tcd, imtl the fkiii 
in )>|Kiii^<(l ltd' M'itli ililiiiv u)<^tht>l or wliitikvv ; lli<* <lnw- 
iiip> iiri' tlii'li n^ijipiirt], and if llicy iirt- miiirorHiltlv Allit 



nc-««. 




MMlted Vc<[>«BU ilfg^iiv for (IwMi* nT tiM rtcbl ckirlvla 

iIh' pnrto an- in |{Oih1 [HtMlimi, tliv ilr«i<»>inipi atr tniuir ut 
ItfiH rnfiiNiit iiiUTVnlii until tHmm is ruaiplvtiHl nl tliv aful 
lit' rriM-iur)-. 

Union ii> mMTH of rnutuir of llio rliividr is p-m'niliv 
iiiiiU' Itrni nl tlio t-ixl of Tour nr livf u-n-lf», nml ill Uiis 
tinu' till' (lirwinpi niii\ In- n-fnovi-<l, niiil tJii' (utticnt stioiilil 
atrrv iJh* iinn of (In- iifTii-li-)! «iili- in ii iJinK for M-vcral 
Mci-ttn, iukI *>I|(>ii1(1 i)i>t iiiHl'Tlnkv iiiiy Murk ni|ilinit|<; 
liiri'ililr iiii'vrnii'ntH ol' till- uni) niiti) i-i^iit t>r len w^fka 
iuivv vlnjiMil rnitii llir niv!|il ol' liic injury. 



PRACTDRK8 OP TUt SCAPULA. A43 

'niD lime n<c)iiiml W iiiiinii in Tnu-liircr' of iIh' cliiviflc 
ill HtiUllX'ti ui Ni>im>wluit sliurlrr; Uio tirtwiiign iiiiiv Iw.^ 
irnxivctl at tin- cimI of Uinw ww-k*. 

FllAtTrKBt OF TUB SCAfl'I^. 

KriM-iiin^ of i\w wniwtn niiiv iii%'i>lvi> ihi' LmkIv, ixvli, 
iii-n>iiiiiii) or iiira>i>i<l |>nHTi« of lh« bone. Frwtiirwt of 
Uii^ I>i>ii4- an* quit*' ran*. 

FtnrtaiY of the Itmty o/ the Smputa. 

In •Inwiii); tliU fnu'tui-i-, if ih-forfiiity b jmtM-nl, il 18 
rtiliin-il liy iiiiiiii[»uliili')ii, mill ix>iH|in'(w» of lint iin- 
pliotil iiIhivi' ami Ih'Iow the m<iiI of fnictiirt^ nitd iiclil in 
|i!inx- l»y uillu-iivt' stri|i«; tin- arm i* nvxf tixtfl 1<i tin- «i<li' 
of ihi- IhmK I)_v i^\»n\i tnniH of » mlli-r Inixinp- |>iiK^ine| 
amuiu) tliv unu simI ciiivt, mid llii- furuinii i.-> Mii|>)i<ini'(l' 
in a slinfT, 

FitieiHre of tht ,Wi, Aa^mion or Ct/racoid Proeeas 
ijf t/it Seafuda. 




V*lfMM4lmtlna In fnclar* at tlM «■!«)>. 



.140 



rRACTURKH. 



r'wi\ ovvr iht- t<ii> t*f tlH- ttlMfuhW (liii<:i>ii)t1U' ucnuvt the 
lau-k. miller thr ('lliow, (]iii)^>iiully ik'hhw tin- rniiil of llii- 
rliif^t to till' |M>iiii 111' Marliii);, wlii-rc it i« mi-timl l>v' 
liitmiu); or m-u-in};, A iilit if tnndi- in tlii» strip to ntx-ivi- 
IIk' (mint of tilt* cIImjw. Ih-torc tlif fllxin' in ■^x-iirtTl liv 
l1ii> pliuior it rihiMiM Iht )>n')W(I null forwitnl hdiI iiiwiini. 
(I-V344.) 

m. M.1 ric. m. 




Ikjic'i atf la<i hir CnuAun iil ilw 
atavlol*. nn« «rlp Mndlvl. 



P«/p«<nii'« ttmmnff niuy uIh> U> iisnl in tli*' inwhiK-iil 
rnirtiinf "f lIii- Havii'li'. (Fis. ^45.) A iiim|»n-*)i inuy 
k1x> 111- i^.'4'iintl liv iIn' v<-rti(iil (iinm •<( l)ii- l>iitiitii|r<' nviT 
tltp w-al iif fnti-liin- il" iii^iili'il. 'I'lw ii|i|ili<-iiliiiii of tllc 
iMinilitiri- i* iliiH-riUil (|i, '»!>). 

Ill iiiiv limii iirilTt-wiiiK in witir-h (Ik* imn ix Itdd ni^inNl 
tiM* hhIi> iiT iIii- rlii-Mt, it i" wi'll In iimilv « liililtil Itmrl nr 
liiBv iif linl iMtuTf'ti till- iinii aini i')n»t to |in'vcnl tlio; 
ntirliuitt f'liMii liciiiiiiiti^ rxmriiitiil. 




«latl«le. 



FRACTCRia or THB OLATIOI.E. 



341 



.V miKlifiixl fonn af ibc Velpcnu ilrt«>iin}; flir rnniim? 
lit' the clavick' is ii])plic<l iiii rollowa : A soft Kiwi-I or |)iGtiC 
III' lint 



I" pliutil fi^iiii!l till- silk- 
■t' tlw UVlv iiikI iiwr tlw front 



FW.M. 




Vtdpraii't ilmalnf Bv (ractan 
oribeclnrMtL 



iit'lliv <-)i4.-Ht, uri<) Ik'M ill ]Mi»li(>n 
hr It Atrip nf lulUfKivo |iln>4tT; 
ilii- iiriii tH iwx\ iiliuxtl ill itx- 

Vol]»«1lll |Mni(!(>ll, It ^HHl-^ivAl) 

|mii of lint if Iirxl i)[i|>li<i| nvrr 

(III' Mii|iiilti, iinil llii" in )irl<) in 

))liufhvn linuul HlriixirniDicHivi- 

|iliL->tiT two iiixl 11 Imlf iticliii* in 

ividlli iin<] iHH' mill II Imir viinU 

ill li-ii^tli : tlii^ Mrt)i in it)iiiiiiii(Hl 

iliiwiiuunl nixl I'lirw-nnI «• nx ti> 

IKiAf* ovt-r till' jNiint nflhc *-ll*>w, 

uihI in «irrt»il iliii^Hinlly lutrnw 

tbi' vlHii4 to tlio iilioiiMcr i>r iIk' 

(ii))io:<itf .«»!<' niNl Ea Mviirnl, n 

«)it iH-itig i-til in it Id n-ot'ivr llic 

iwiiiit "t" tlip i-Ui">w ; u rtiiiiiin-*- III" lint U nvxt |)lii<til nviT 

tlx- s>-]it III' Irtu-tiirc ami liolil iti pliiiv liv a !<lri)> i>t* iiil- 

hcsivi- ptaHt^r; an ndilitional Htri)) nf i>Iafltfr i^i next (nr- 

rim) fnim ttii- h\Abv nruiiiMl t)i«? arm aim diest ami m^-iiixhI 

iin tlip iipiwiisiH' «(k>iiftht' chest; Hmilar turnsof a n»U*r 

IttUiiliiKi- itn.- thfii (Obwix) nniiiiid llip cheat, im'liHlin}; lite 

iirni, from Ih-I<iw iipwanl nntil tin- iirni in Mviin'ly tixnl 

til tliv IknIv, and tlie <inr<v)tit; is tinixluil )iy niakiiiif ouq 

<ir twii liirnmif tin- idinl r()l!iT iif IV^iiiill. (1%. 246.) 

Or tlic turn.- of tlie tliini i^iller uf hi-MUill liiav W- applieij 

lirKl, iinil rile dn^nit may Im- finifiliul l>y i-irciiUr turu» 

i»f a roller txiHsinc nrmind tlie ann and eJii-Ot. exlniiliii); 

from ttlr ellxin' to the r^lvMiMer. 

In the Iniiiment "f fmeriim* nf the eluviele in ehil/fmt 
ihi^ Veljwiii iir iniKlitiiil \'i1]«t>ii ilre-win;; will In- found 
to lie tile iniwt sit iHlii<-t< >ry iln-f^Htn); t<M'tii|i)<>\ , and n^ th<-«' 
iMMtrntx tire (leirtieiiliirly niil lit diKirnitiK>' llieir dn-wiiifT' 
It is well III reitder ilie ilr<'sciii|; luldilinnjilly Mviirt- by 
a|i|ilyi>i;; » few limud 'ilri|iw of a<lhi«ivi' plimfr over tlu' 



343 



FRACTUKKH. 



InrtiH of tlir n>Urr ImiKlai^!, tlit- Hii'i[iH liillowinii Ihc ItimM 

Tlic n'nioviil of (lrrMxifip> tun) lliiir iiii|i|t)ii-uliiiti will 
il<-|H-i)il iiiH>ii llic oiiiitiirl of iIm' |>iili>'iil mill tlic iniiiiiii'i- 
iii uliii-lt Uk'V k>'i-ji tlii'ir |HiKit,i<>ii. Ah ii riili' iit rniiiiirt<M 
i»r iKi- rlnvirli- tin" drfwiiipt ar<' mimvitl id iIh- rinl nl' itit" 
t>r<iiiw) itr thini itiiv, llu' ]mn* nrc iiin|m-h«l, iiml tlii' Mkiii 
ii^ !«|Kiiip.il oti' witli ilili)t<' ii)ii>l)ol 111' U'liiKki'V ; ihv tln-fm- 
iiigs iiri' tlicii ritijijiliiil, nml if tltcv ciiv i irnrtalili- iiihI 



Plu. nn. 




IMUM VdpMu dne^n* (or (M«ni(« or ih* mhi tdvlcln. 

(W |MrlN an> in icmmI |iiK«iliim, (he ilirM>inp tktv ttunlf at 
li'M rrti|ii<'iii inltTViiln until union ik itiinpti'litl nl llir m-m 
of fntiliirf. 

riti(H) w iMitaw iif fnu'inn* nf the diivi^-Io i« p'tii-nilly 
tiiiih' firm iil llio mmI of four ur five w«rk". nnii ut iliijt 
tiim' tlic tlnwiuKM nmy In< n-movitt, nml tlti' jutliont mIiouUI 
tiirrv (lit- iinii of l)u' uftii-rnt fiili- in ii nlin^ fur wvcral 
Htt'Ki*, iinil fliioiilil lint iiiiili'ttiiki- nuy wurk nijiitriii^ 
ron-ildf miivi'iiiciiix of till- iinii iinlil i-i^lit or trn wt-rkw 
liAVv vli>|ixiil fnim tlti- n^ript of tin' it^ur>-. 



rRACTDRBS Or TUB SCAPULA. 3-13 

Tlif liiiiv ni|iiin-<l fnr union !» fmi-tiirvM of Itiv fliivii-ti' 
ill •-liililn-ii IK Mitiicwiial »li(irti-r; tlif ilrv««iti)i;8 inny Im.< 
rc-iiiovul »t till' uikI of tliiti' wtvkfi. 

FKAtTt?KB* or Tilt: SCAI'L'I-A. 

FrwtiinM of tlio M-apiila may involve iJiu ImkIv, ura-k, 
:ii-i>>mi'>» or imnuiwl |irx>n-HS of ilti- Ixmo. Kiw-Uliva of 
tliiit l>onf arc tgiiilv run-. 

Frttcluff of Ike Jtadji o/* the Scnittthu 

III (lifwiii); tlii.-* fnu-tiin-, if <|i<rorniily iti [ircwiil, it Im 
niliuiH] Ity ituiiii|>iilal)oti, anil <v>tit]intMt< of lint iir* 
|iliiii<il nlH>vc umt Ih'Iou' (Ik- Awt of fniciiiiv iim) lii-l<l in 
liUir l>y iiilht-^ivf Klrijiw : ihv arm in nvtt (ixwl t'l tin- "iilo 
of llic UKly liy )f])int) Hirii;' of ii rolliT ticimlii}^- |ui«><inf; 
unitiiHl Ihf unii hihI (.-h<-nt, mid tItL* furcarm ia )ui|ip(irti.'U 
In II slitifr, 

Fnidure of the .V«vt, AcromioH or Oortuwd ProetMt 
<^ IheSeaiitUn. 




Vripmu ilwMiiK Mm molBi* of ih» *Mpiil«. 



344 



rRACTURBS. 



'nitei' rmi-tiint> tray he dr»«M^ l>y plsrinjc a iwl nf 
linl »r » fiMet\ tr>wel in the HxilU and liimlint; tni- nnu 
Ui tlir InnIv Iiv »|>iral turns of a rolltr laaniliiifc paM^iii); 
HrcHinil lt)i< iinii and >-I)p^I and -luiiiioiiiut; thf tnniinu in 
a 4ing. < >r IJh'x- Inwturps of tlip •4faj>uln nvay U- dnssMl 
Itv tiri«t |iUi'in)c a )>»■) "f lint or a folded ti»v('l in the 
axiltii mid then Bwiiring the arm in the Vdju-aii |Mwiti<in 
Iiy the a|>|dii-alii>n of a Vi-]|>ean'a Imndai^ ('""'K- 2^'0 
In fraotiinw of ihf acromion or coracwia [»pm*ns<f tliu 
nnion i.- it^nally fibnms. Id tin- ti>ntim-nt •>( fntcUirvnaf 
llie ->>^[)n)a (ho divst^in;; sIkhiIiI Im> n-tniitcd for alMiiil fonr 

FltA4Tri{lW or TIIK Hl-MKKI'H. 

I-'nwtim-!' iif the hnnicnu nwy ii)\iilvi> Uh* n|)|MT vx- 
tninity. Uw nhafi ur tin- Utvivr csln-niity of the \M>av, 

firatltiret of Ihr Vpit^r Kxtrrmitg of Ihr IlmnrrHK iiifliidc 

ftvsttirm of till' Ik'iuI uml nniitoiiiiml nwV n\' tln' Ihhw, 

fnirtiin-e iliniimli rlii- tiiUTr»iiiu-». frai-dinw (lir>>ii|!li ilti- 

Biir^iral ni*<-k <>f die liiiiniTiis, and 4'|>ij>l)yiH-nl fnn-tnrr ur, 

diHiHiictioa of lh«- ii|>|MT (-(HiiltyU nf 

"* **■ litimcnM. 

JTW tniml aatinracrtiirydnwiin)! for all fn 
tnnw of Wiv ItdiiKTnn iiU-vc tli<- ii)i{>tT tliii 
of tli4- Uiiii- in niinliiil ]!.'• follnw.t: A pri- 
tn;iry nillrr .■•lioiild Imtvi-dIv n|i|ilicd frov 
llip tip of tlif <ln|fi-T> lo \\u' Mill of 
fnii-ture. tlit' arm Ix-itiK fli-xci) at lh«' rllx)' 
iH-lorc lli<- limdain- !.■< mrrti^l aUivp Uiit 
(loint, to itrcvtiil llifdiin)fcfiiii.->>'n!>lricti(i 
wltii'li niiKlit n—iill if till- UiimIap' wfn- 
iii>]iii<-d Mitli the amt in the hlnii^hl {"m- 
lion, and it nrn- iilti-rwanl Hrxail nt iIh- 
•■IImiH'. a foldiil towi'l or a lliin imd of 
MouUM (piiai ft* l>i*' tlxiiild ni-xl Ih- jilitn'd in Un- axilla and 
■koulte WhI arm. over llir i>il(i-r flirfiui' «!' llic <-ll'-sl, to ftir- 
nii«li a fini) \taMs of Mi|i|M>rt for llir liiiiniTiiK 
uiitl :\\^< In jiri'vciil I'Vorinlion fnmi iIk' conhu-l of IIm* 
«kin niirl'iMt-n. A tplinl of juiitlclNiunI, fi-lt or )c«tlii-r (FIjj;. 




FBACTORBS OF THK HDUERU9. 

^^H) is itoxt iiuhiKIkI ti> Uio ttlKHilik-r apt) arm ; litis slioiiltl 
Itr I'ini; i*iirMi)Hi to i-xk-ml Konic iltetaiirf Ik>Iuw lb«- suit »!' 
fnictiirr uiMlnidd <^'noiiKli (<> rover in »lH>ut niit-liairoftlii; 
nn-iimli-n-iKH- of the nriii, iiiiil i^ isuKkfl witii cotton aiul 
RiimI (o the )sliun]il<rr iiml iirni. TIh- i!^|>lint iitiil arm an- m-xl 
wviin'*! to the fi'lc of iIk- IxkIv hv xninil turtle of a mllor 
IxiiiiLip' iiicltiiliiiK t)it'arm aii<) i-tx-^t iii lU^ luruh iiiiit ii{)|ilif<l 
fruni (1)1- I'lliow* It) (lie to|i of llit- el ii ml tier. Tho lurttiirtM is 
nirridl in a narrow idling ((tu|H-iKl<<d from tlic nvrk (Fig, 
24U}. Tliiit (IrcMinj; should be rvin4>v<-<] iit tin* t'lut of 

n... .■!■. 




twrntv-fiitir itr fiirty-i'i(;tit limirx, hih] iitli-r th*- purl** liavo 
Imi-I) in-'|Hi'1iHl Nllil t'lHXIt'ral ov<T Vi'llh ilti^Jlul, lllc iln^!^- 
iti)^ •^li<i[il>l Im7 nTi|i|iliiil in itir miiiii- inniiiHT, uiiil if tliv 
[Mticnt in n>iiil(>rlal>)i- ilnv iic«l iio< Ih- ilit'liirtHil again 
i'or tlinv or lour ilav>, Miliis«i|iirnt tln«eingM lieiiii; inatti' 
Ht thi- sutnc iiilrrvalx. Tnion in fnirUin-H of thv ii|>|mt 
i-xlit'inily lit lli<> luinicniH, I'xivpl in intni-caftmifor Uwt- 
iin-, in uhii-li Umv niiioii in iJii' excM-ptioii, i.^ iiHdnlly i|iiil<' 
linn III l)i(' I'ml nl Km' nr six wivlcs noil I'm' <lnfiMii|iN am 
)•>' (|i^[H'np'ti uiili III tliiH tirue. 



346 



rBAOTURSS. 



Fnutureti of the Hhaji of Ikf llumenu. 

'till- ilnxtii)^ I'diiHint.i ill till- n]i|>Ii(iiliiii> nf ii iiriiiiAr^- 
mlK-r rmiii i\w linn of llii> fin^rrH (o (Ih* ^'iit nl' Irm-tiin' ; 
11 utiort urll-iMiiltk'^) wiiiitli'ii jttiliiit cxtfiKliii); Initii tllC 
nxillit ((> II |Hiinl It little eiImivc lln' iiiltrmil i-ikmIvIi- U itcxt 
))lii4'<il Oil tli<- innvr imrfim' "f tlii- nriii am) ii^iirnt tli<- 
i-lii-st : II iikiiiIiIihI IHftl'lllKinl •>!- tc-lt .t|iiiiit, lilti^l <l> till* 
xIkiiiMit uikI otilcr xiili- of llir nnii iinil i-\trtiiliii^ » tihort 
(liHtiiiHv tx-low t)ic iHilt of frarUirr, i» )iiuMf<l with cotliiit 
nnd ti|t]il!<tl lo tin- .ilioulflor aiiH itnn. Thr sitliiilH iirc 
licM ill [H»ilioii Ity the tiirnt* of a ImiulH^', aiicl ttif arm 
i^ Mi-iinil In i)ii> UmIv liy AjiimI liiriui of a mtlcr iNutiln^i 
iiirriiil iiriitintl lli<- <-lu-!'t nn<l arm, and lliv fon^riii \k 
<iiiTi<i1 in H sliii)£ Mi.'<|>C'ii()i>(l from llio nivk. T)ir ilivsniiig 
til imivh till- winii' :li ttint lor Irat-ttin' of tlie ii)>[mt |>arl of 
tlie )iimu-niH, willi tUv tidditiou of ihv short inlrriml :«)iliiit. 

Knii-itin-'' of ilto -■'hiifl of llir lninifnH nuiv hIm) Ik* 
(In-Kxil liv litxl ii[>|ilvin^ N jiritimry n>lli-r iiml tlii-ti iiIdc- 
iii^ till' (iiitqiriii tiiK^ nrm ii|miii ii »i-I)-i»uIiI(iI iiili-n>ii) 
ani^tlnr i>|i)iiil. {i'lg- --'HV) Ciiiv nluMild \n- Inkt-ti lo ^f 

Pu. M>. 




toMnaJ Aucular (pUyik 

thni Ihf rml of tlic !>|itii)1 cxlrit'b only to llic ii.\illn unrl 
iliNi> rio| yn-m iijtH>ii tilt' linit-htiil vi-iii. A (lUfili-lHiun) or 
f<>lt tuntlt(k<(l nitUlit in tu-xl a|>|>ltc<l to the KhoiildiT ami 
iMilcr niilf of tilt' nrin, nhiHi nhoiihl lie h»>n t-noii)*li In 




FRAOTtTRBS OP THK HUXRIIl'S. 



exliiid Iwlow tile wat of fnu-turp. TIk* M|i1inl« iirv lit-ld 
in |H>!iiti<>ii \<y Iiimi^ nf n roller )uiii(liii:i' l><'(;iiii)iii^ al thi* 
lingers iiitil ciirrio) iil> to the shoulder, ittiil liriiHlitil Willi tt 
tew iipim-o)-ttM^«li4>iil<lcr tiinis. (Fi|;. '2->l.) Tin- iiriii ik 
t4ii(ipiirtiil by a sling amilinl ut tin- wrist, uihI w>tn<-tiiiiiv 
lor 11(1(1 itionai I ti»-iirity tlti- iirtii ih M'CiintI lo ilit- eitlt- of tlti* 
IhnIv Iiv F-piral tiinis of » 1iniiil»t;i- i-jn-utl aroiitxl tin- iinn 
ami di(-8t. TIte :ilK-r-ttx«tiii«.-i)i iil' iIk-w Tnu-liin-*. ok n.- 



Pio. mi. 




Drawliiglir ltMiiii«orUM(«>wllnrtlMlMnM>iB alililiitonwlftiirituaplliil 
■»d ulcroal lUM o( UndM^ boart. 

^r(li> tilt- n-miiMi] himI rciM'wiil of tUr itm«'jiif^ !>• (Ik- .-wtiM* 
nnin nM-Hoffnu-ltin-nI'lhi' uii|nt ]Miniotiorihi- lini»i'ni!>. 
Ill Inuiiin-^ of llic nlinll of tli*^ tiiiiiii*rut« tin* tlrcMiiiip' 
iJiotilil Ih- rc-iniiii^l liir live or nix w'<^'k!>. 



^^teturrg oftKf lytvtr Kitrtmiltf of tht Hvmtrm. 

ThMP iiK-litilt- fnu'liini* ut \\w Imim- of tin- «iiimIvU-h. 
sjilitliiii; fnirtiiTn* twlwrvii tliv umdylt^ or lltuM' »f tlic 
iiit><riuit or cxu-nml t^>iiilylc, iiikI <']ii|>hvf>iiil fnu-liirf ttr 
(linjiiniitoii of llic lower <-)ii|tliy<<i<> of the liiiMienis. 



MS 



FBAOTDRKS. 



In (ImMn^ rrarUimt nf Hm* lower extremitr nf iJh' 
linnirrtiM, if a |>rinian' ndb'r ij> mijilofKl it KluMtM lie 
rwriitl iiji oiilv III l)i>- clUiu ; llii' iti-iilnifUit-Dt in mlutv^l 
)>v rxti-ttoiiiii himI iiuniijHilntiou, nni) lH-r<irt- u|ij»lviu^ >ny 



n».m. 




AMarttt •BgsUr (pUM. 



Mitliiit it in well ill ninnv nuwv to npply ovrr tix' n-cNio (if 
tilt- rnii-lim- M-^'i-hil riililH nf lint Hiitiiraltil willi IiiuUvratrr 
iiiitl iiiiKliiiiiiiii. mill t'l n>v(-r liiif i|n-N>inp wiili wnxitl 
jMlicr or nil'loT tihtute lu ilioiinitJi aa far ik )HMNil>l<- llic 




thiMlaa M (nwmra ut Um tMMf uti«nili]r of Ito knroonn trlUi uiWfMT j 
M«illar iiillfiL 

iiWfI1iD){, whIHi U very inirkHl »1>it tluw iiijiirks. 
tin- III' lliix liilioii liiHV in' omilli-<I, nitil » liiyiT iif n>tlun 
may In- jiliuitl iir»iitiil tin- jtiiiil in it.- iiltKi-, An nnlcriiir 
liiitfiitiir i-iiliiil tV'jK. 'J<VJ) mil (iiiililtxl with nillnn or 



ripitiir t'l ^. , , -. 

luiKiini in i)i'\i n|ijiliiil ami licid in |ii>T<i(i<iii liy llti< tiirDtt 
111' H nilirr UiikI 
[■irtiiiii nC ilir 



n|ijiitiii anil iicid in |ii>t<iihiii ny i»i< inros 

ikIiu?' ii)>|ili<il fnini tin- f)ii|{i-n tii ilit< iiiifHY 

f>|miit. (Vtg. 26;J,) Tht-se fi*Hiin-!> iiniy 





FBA0TCRK3 OP TOR HDHKIIUS. 



■'t-19 



rm.K*. 




l^«c<1Maacnlat Uiiutfh. 



a]t«> Iw (Iretoed wilh a wcll-iMKlilcd inu-nuil angulnr s]il)iil, 
thiH H|>lmt \te'uig ■iiilpititnKil liy aii uiKoriitr angular H|itiiit 
at tlip mmI iif ten (iuvs i>r two wwks, 

Tln-se fiiu-tiiret^ may aWt be clm«ri) l>_v |)lii4'iit)E iho arm 
ill a |><i>it('rii>r niiKulur tnni(fli (l''i|;. 2')4) ma<Io ol* ]m?iti>- 
ln)iiiil i>r lintlitT. Siinc Mir^itiiri-i |irfti'r tii dress rnicllinv 
dl' ilif (nnwivlps of tile htinicriis witli tlip anii in the ex- 
tcmlii) iMK^ilittii iipuii a fitnti^lil iiii- 
tcHiir t^i)!)!!!, ur wUli hltuil, iiumtw 
(NUtlclMuinl Milinti a|iplkil amiiuil 
tJtr jniut, as favuriu^ niori' uiviinitc 
<<<iii[Muti(>ii ut llif fmifiiii'iilfi. If 
tliis itmilioil M ciii)>luv»l ii htnii);lil 
n-iNHlen tt|>liiit u ajtulutl li> tlii.' 
aiilt-riiir siirGuv uf llif iinii iim) 
fun-anii, nr iiiiiiihkHl i>>|ilii)l» ul' 
liasiclNuinl may lie itsitl, uim) uOit 
llu> union is miKltraltrly (inn, ut lliu tiiil of two wcvk)^ IIh' 
pIUiw --ihoiilil Im' flfxitl nml kc|>l in tliis |MMitiuit iliiriiti; 
Ok* n-nitiiniii^ tinit* ol' llio tniitiiii-i)t. 

Wlini fractiirvs iif tin- lower t-Mnmily of tin- liiiiiM-niK 
iiivtilvc iliv I'll low-jui lit II ivfluii) .iiiioiinl of tni|iiiiriiiri)l v( 
joint- mot ion in apt to iKviir t-itlicr fniiii unkylociK or rmni 
(llsi^Biviiu-iit of llif fraf;iiu-nt^ wIiiHi in nuiny niMv it tf 
inipiiHMiliK' to (<om|>K-trly nilnix-, wi tliiit th-xion mid fxti-n- 
fiion t'f llic jitint ic mttriiltil. IV^Liint; ihi^w fiu-t" in mind, 
it i" Wf'll to niaki- lUMtivc motion in i)nw niMf* im itiriy 
Hd tlif Kiix>ii(l or tliin) u'irk. It i' wrll !■> cxjtliiiti to ific 
patii-iit nr liU I'riftidK lliut i»i))airntcnt of joint- mot ion nuiy 
rmull in tliiw fnHturi'H in )'\ntv of tlii' frtmli-xl i^kill und 
4iirt- in tlw tniiliiHiit. In ii (wm' of fnu'liin- in tin- nx><^) 
of till* I'ondylii' of llw )iiimi-nin tlio tln-'winp' xhonM U- 
ri'tnovnt in lui-ntv-lonr Iioiiim iinil il >limil(l U' rc-tlrcwHtl 
in till- fiiinii' iniiiiiH'r, nml if itn' ^mllin^ <lo<v not iixniiM' 
und llic dn-pwiniii; in timifortiilili' to tin' |>iitii'iii ii kIkmiM 
iiDi>rM-iinl Ik' dn-vwl ut U>«> fntinfiit iniitxiiU ; ltii> iiuioti 
ip> K>-n('niny t(iiiic firm ut the «>n<l uf (imr wit-kH uud tbt> 
spliiil nioy Im- n-inoviil ut thin linn-. Fnutiin-^ of iho 
4iindylt« of <lu- iiniiK-niH im* vrry conimmi in t'liililn-n, imij 

to 



a&i) 



rRAOTPRES. 



t.>]H|>hyHcaI <lwjiiiiili>iiiH nf ihf luwvr o])ii)liVMs of tlu- 
liunivruH nrv iiIumi iitct wild ; llii- dnvKiii^ i>l llit^ti* ii^iirinn 
in ititt rLii9< •>( |ci1ti-i)i« 'w Hmilar tn tliut diiwrilMil fur 
rnu-liinw uf llx- mitihlcM of llii- Iiniiicriiic. 

KHAtTl^llWt (>»■ THK Ol,»'B\.N<>N FiKITHW tiK THE 

T'lna. 

rnwtitrcs of tliii olwranini mav (^itiKLit lu Minjilv u 
M-iHini(i<iit III' the (Htrtiiiil Invcr of Ixiiif ovit the Miniiiiil 
i>f tlif |ini<T-!v< 111 M liii'l) titc tn(v{ii^ in |iritii-i|iulK uium-Ih^I, 
or ll)f line ol' Ihu-liiiv iiuiy jmHii thn>iif;h tlir nipmiut 
fuMn. 

rriMiimw *tf till' olivninoii an- <)n-si««tt u-itli tlir ami 
slightly flfxi'<lnt llii'i-)li»w, or with il coiiiiili-trly rxtviMUtl ; 



Flo. Wi. 




A4bMt*«MnFB|ipUHl luilraw Infnrai •Imrniiar'l. 

Iltc* forincr iKirtili'iii ii^ |M)Miihty a tittlo hw( irltMirtK- 1" thj 
(aliitil. Tn<' i4-|)nn)liiiti iil' tin- I'nitiiiH-iit hy iht- lu-tiim 
of the (rii^-|»' iniiM-lc iy ii-iiiilly ii>>t vvrk- iniirki^I ; hut, it' 
llti- ili>{thi'i-iiii;iil i« iiinrki'tl. il iiiiiy in n iiHiiAiin- Ik* uvt-r- 
iiiniv hv iht- iiM- nf II rt)i)i)in-Hn itlM>vo (Ih- l'r»);iiiiiil, itw^ 
which h|^irc-4ir-<'i|!hl slri|iB iil' lulhtvivv giliiMrr nn' IJL>li'n(«l 
tu flniM' it <Ii)un iiit'i |Mi<titit>n | Fi^. '2'A). Tin- cniU nf tlit- 
»lni]i an' lh«-i) nttnclxi) ru » iii'll-|Bi<tih-il -trai^ht oplinl 
whirli nhoiihl U' hiiik; i-tiiiii;;h in <-xt"ti<l I'nuit iIk- ii|i|M'r 
Ihini III' the iirtii li> the i-iicio nl' iId* liiij^ir-, Mhicli in 
■wi-iintl ill |ii»iiiiiii liy llic liinw nl' ii r»>ll<T iiirri<il Cnim 





FRACTtTRBS or THE OtRCRAKOH 



3S1 



Ihv liit){i(>n( to the ii|)|M>r vxtrrniUy nf tlie sitlinl with fij;im- 
tilVitfht tnniitiit |j)i> [-IImih- l» rviiifiinv tbu ui-tinti u? Ihe 
filripe ol* itliutcr. 



Tills fnicHire nuiv also Iw (IrcsH^I hv first u{>|>lyinc a 



|>rintiirv n>lt<'r iiii to llic rlliuvi', mul tWii pliu-iii;; the ui*tn 
ii|>i>ii !i wrll-)Kiili)»l uiitiTiiir i>Util!4-flii^Ii'<l ?|iliiit, or a 
xlnii^lil <i|>)iiit with :i pMMl-i'i/^'il |jiul of lint ur oakum 
liish-ik'*! at a ["nut cKrrLt-jKJiwIiiiE to the pocilion ol' the 
fl<-xtm> i>f tlw clUnv. WliPii tfilhvr of tlicw s)ilint« is 



ru>.TM. 




naeumofokcnuKio drnv) in <i>c uli'iKic-: I'my-m, 



I|)Iiii-(tl iijHXi th<^ iinii n |H»itioii uf miMh-mK- lT<'\ion ie 
i)MniiM>il. A coinim-Nf of lint it* iii-xl iilncol uUivr tht- 
fnipiK-iil, if then- w (liH|»liuviiu-iir,iii)il om- or (wo tuimiw 
Htri|n of iMlh'viva- |>ln>li-r nn- litMoiHtl over lliiv ni)>l |mM«^l 
olilii|ii('lv (louiiwiinl :iiiil :iltarlic<l lo tin- Hpliiit nil cither 
>iiU'. '1 hi' fjiliiil !■ thi-ii M-i'on-lv liLMi-iNHl t'> ihi- nrm hv 
thr liirn.'< of n roller UiiHlnp' iiiii)litil Iroiii the liiig<'r> tn 
the ti|i|ifr ciMJ of tin- (■plhjt. (1'>1E- '-J'j'l.) 

Th«- <)rcM)'iii^ iti » (n.4)' of friH'tiin- of the ohfrniitMi 
.■ihoiili) Ik- ri'tnovi^l iit the I'lid of ivroiiiV'frHir or tliirly-4^x 
lioiira, or NKiiicr if ihi-n- !.■- i'vi*h-ii<i' of Hwclliii^ ol" ih4' 
lbwii<« ill ihi- nyiiiii of tlw fnii-inn', nnd tht-y :<)ionhl lio 
ntipniio'l ill lh<- ximi' tniiiimr. If ihc dn-niti^ io cotii- 
forliutli- lo till- imliriil, iiwl tluTi- in im oviih-iKv nf ^wrllii^, 
thi- Mi)iiia<(}itciil i]rt<w>iii|^ hIumiM Ih* tuacli' iit livn fni|i]('tit 
iiit<T\-uln : tin- ttnwiiip' nn- itMially n-liiiiiol in liiid froiv 
tun- for five or Wi\ Wfckx. lV-4>ivi- iiiolioit nlioiiht tiol Im< 
iiiiidi' until thio lime, a- Hi-xion of the rlUiw HikIm In 
•M'lHinili' iIh' fnif;ni'-ntfl, nnhw union Iiiim liiki-n iiIiwt. TIm 



3fi2 



rSAOTOBBS. 



Tffoir lit n Trwlurv <>f U>p ulKmson is, in D)"-t •tMTs Im' 
filmfitn ujiiitn, IhiI in a Tt-u inslMiiMi' Imidv iiniuit li.-u iMtv 
foiiitil U> tiavr lakfii plaiv. 

FnAiTvitnt i*r tub CVjitoyoin l*iHH-B«iir tuk I'lsa. 

Knu-tiinsi of UieninHiotil iirunsM ore nn-lT niK witb, 
nntl lln-ir iJn-tv-irtt; U mtxyitniiMmi l>y |>Iiu-ii)|f llw arm iu 
u llrxnl (Hifilixii iukI »)i|>lyiii^ a M(-II-|km)<1mI inliTUitl 
nKiil'iiti^lfl Tt|>lint, 'ir n jtii^((-rii>r ritrtii-iin^lnl splint, atMl 
M>(-iirint: >( lit llii' iinii l>v lli>- tiirii.-> nl' u r>>lliT tandajcp. 
A unMililiil iKirHd'Uaril or Ii-nllit-r )^ilti-ruuiv )iC!iiil»ilitiitM) 
for llif uiiituliir n|iliutH. Ttic dn^iip* stutuli) U-flimO)^ 
at inl'TVuln, i(i»<l alU-r Iht^ir rentovul at ilic end oftliTTV *>T 
(iHir wivkn, |Mutiive luotioii nhoiild bt- jirai-tiwtl. 

KiuiTritiMOf'TiiK Hkau am> Nhi!k oftiik ItAmm. 

'I1ti-M' rnuHiin-N iin* aUu f|iiiu> rarv, ami, wbcn tut-t «-i(h, 
kIiikiM Ih^ ilnt«ir<l, uftiT ntldi-inK tlio fro^^ctits I>v tnanipii- 
Ljilit>ii, liy lli-xin); i)m- rllNiw hihI koiHiiju: it in tlim poMlioii 
l>y tlw- ii)>|ili>»li"ii <)(' n wi-II-iuKlilftl antirior riglit-uti^lMl 
■|)liiil, till' njiliiit Im-ih); firtiiiy §t.'ni[vil in |)iMili>iii liy tlu* 
liiriiK of a ntlli-r l>;iii']a|:i' »|)|ili<-<l fn>ni the lijw of the 
fltiKi'r" tf> iIh- n|>|M-r rn<l of lite »|)ltnt. TIk- splint eliuiiltl 
Iw <')mii)i:<-<I lit int«T\'iiK nixl kIkkiM not W jx-rmitiiiiilly 
miDovm r»r fiitir uirkx, iit whidi time poetfivc nioliim, 
tnnflialiiiit in lli-xion iiu<) t-xli-iLiinn at thf* i-lbitw tutt) 
|miiiiit!on iind nnpiniition of i)m? lorvarm, slionld Ik- iiuhI*-. 

All intonuil Bn^iiW MjilinI *ji{ilic^l to iIh- inner *>iirGuv 
iiniM- limmnn iiihI iirtn nmy hImi In- uhoI in tlu- Lnttlniml 
(if iIkw fnu-um-it. (Fi|{. 2AI.) 

KuAcn'Riw UK ihmi \Uisni <»k tiik KnitKAiiM. 

Tbepr fnu-lnrt-n ttn> nfU'U met witlt ii» iIh' n'Miilt of diivct 
or iuillrol vliilitii^-, ui>'l iiDi-r nslnriui; |)h> (]if<[ita>vtni-nti 
wliMi U ulwuvH lunrki-il wlifii Uttit Inhiiw iin> Itnikiit, uul 



4 



FBAOTUBBS OF BOTH BONX8 OF FORKARU. ^3 

\f> nut HO murkitl wlivii onv Imhh- only in Imtkrn, l\v tiinkiii)* 
pxtcnhini) from tlic Iiiim) iiml tiv riiiihi|iiilnl)<m ; tlic rurtnrni 
iti plaivt] ill tliv isiijiiiii- |Mi>iti<>ii or in a iMmilioii IhIwci'Ii 
pnmalHiii aitil i^iipiiuili'H). The Mipiiic |<<Miliiiii if, iti* a 
rule, to be prrfcrrcd in any rnu-tim- of tW rtuliiifs in lltr 
iiptH-r frnRnit-nt i» Kii|>iniit<tl l)y Oit- wtioit of the Iiim-IR* 
ami Mipinutiir lin-vin iiiiinIi-n »li'l, llwu-fiin-, iiti|i^«> llii* 
lower ^it;iiicnt In.- |>IiKttl tii tlif xii|iiiM' |Nnitioii union with 
rotan- <icf>tnuit_v will ulmoni invviltibly mMii-. 

Two ittr:it);lil wikkIcii Bjtiiiite, wvll |)(wl<lc(l, u litllv wi()i*r 
than UiL- foruimi, an- t-tii|iloyp(). TIk> niitcrior Hpliiit 




[iniriiit br IkKlvivor kolA booM o( tiM IbrMrai. 




nhniild lie lnn|c i>iinit^)i to i^^ctfnil fnin> tin- cIUi"" lo ihi- 
(i|M of tlio finffcrv, himI iIk' iHisit'rior )>]iliiil nhonlil cxtcrKt 
Inmt iIk- pIImiw lo (lie vn^t. A itrimary roller ^itixiM 
iH-vor Im- ajinlittl |o ilu' jon-anii in dm^in^; t)iciitf> rnKitini^, 
att it8 All I tl lea I ton <1iniiiiiiilut< llic jnlvmHMHMH sytuv ami 
iln Hm' liiL" JHi-n fi'llrtwi-H liy Knii)fn-i)(- of tlie fiami ami 
ron»rtn. In Hi>[ily)n)f llii- anterior nplini lo flu- iiaimur 
Kiirfixi- ol* iIh' lon-nrm nnd linixl oan' flioiiUl Ite uiiirn to 
nee lliiil (lie il)i|-T rmi of llir ''jiiiilt i]><fH not \\r>-^ ti|Hm 
tlK> bnu-hiHl arlery and vein at llie elltow wlien llie loimrm 
ift Rr'xtt] ; the [KiHterior niilinl Ia next nmilit^l fnini iIh- 
cIImiw to llie nri^t ami llie ^plinlii nn^ lielil in jMipiition l>y 
tJie Inrns of n lunKliip- earTi<<tJ rmni llii- liiijifrni lo |Ih< 
rllww. (Fig. 2.'.7.) 



a«4 



rRACTURKB. 



[n droving tliu fmi-tiiiv a pmterior tiplint tvjtinl in 
Iciif^li to tin- aiiu-rior >'])1iii( imw ttr 11841] in plan.- of th(- 
ehort |Mwlcriiir uiiliiit cxtritiliiiv' Iron] iIh- i-lh«)w totln* wriHt. 

In ftni-Uirv ndiir of die nhiil) nt' tho i-atliim or of \hv 
ninji iiliHio, tlic (Iffoniiitv in nMiiilly not Mt mnrLol iix wlteti 
Um>i Iwntw an* Umki-n at tlie aiinip tinip. tlic unlmiken Ijonc 
ii(AinKa» u siiliot; thv ilriivin); fur tli«M> fru-lurns ib tliu 
Miinin iM fiir rnu-ton- of iHttli IxtnoH of the fnrennu. 

TItf ilrr-wing f-IiikiIiI U- rcniovnl in twt'iitv four nr ihirly- 
Mix hoiiiN. iin<l iiA<?r inKixvlinj; i)xr lortri iiml HiKHiifin}; tlit-m 
witit 'liliiti- nliiiliol l)it' »>iiliiitK F>liiinl() Ih' n-jihii'iil in llit- 
wuiii' iiuinht^'r und MTun^i, und tlie dntutin^ ithoiiM be 
rvniovitl Mill n-iM-wfxl at intcrvaU of two or thn"*' •)a^1t for 
two uivks lit lui«l, and aOi-r tliis timv t)ic dr«!winir' nioiild 
i>c niiiih' nl li^M froincnt inlorvulo. Tlti> tin»> rf>|iiin-<l fiir 
ntitiin ii) itii-K- I'l-iK-tiin-'' i> iHiiully t'lw or imx wit-k^. nntl 
llu.- -[ilintM hIkhiM Ih- rcltiincd fur thin lime. 

Fnu-tiirr?! 'if till- loD-ann f-IkiuIi! lie -uvn I>v ihi' siityvotl 
rrM]iiiiilly for tlic (intl two wt-ckHof llic tivafitniil, lor it 
in in th*^^' fmctimvi tliat llti- nxk^t unfiirlUDale ruuilte luiv« 
wi'iirnil Inmi ni'^ilii'l nl' llii!< jirfcuntioii. 

In I'liildn-n inf»im/>lrlf nr green tliiA fnirtitrcM of |]h< 
Ihmiiv of till' fnrrvirrn iin' vfry iiiminon ; tlit-ir iln-winfc, 
nftiT n-tliinnt; (lio ilflorniity, wliit-)i <iin-'Utf( in Uiulitig 
lliv iHtniik luu-k into |>liui', mIiicIi oAt'n itntva-rlM tin- iti- 
ntiii|)Ift4' Inu-tiin.' into a i>r>iii)iMi- onv, \» iuti>m{»lit>lM.il in 
llic mniv inaniMT iik diwriUsI iiUtvi-. In iIii-m- |inliiiil(« 
llifri' IK a in>i>( tcndi-ncy to di^plnii- iIh' fiilinl" nr ntllirr 
to dniw iltc lon-iit-in out of iln- d)ilirii>, mid to )>r>'vrnl ititn 
i iin<-n i'ni|ilov un tuiU-Hor iniKnliir h'|ilinl, in |>lii(i' of Iho 
Mtrai^dt iinti'nor "(ilihl, tlw n|iii<T iNirlion of wtiii'^i, iN-injc 
faH<<iic<l to till- iinii. iirt'Vfnt» tm*<-liild from dnt);:^!!!); th4- 
umi iMit nf tlif dnvHiii)^. 



l-'ltA<TI'ltr> Ol* TIIK l<I>WKH KMI (IP Ttiti ItAtllltM. 

Tlir Mi<*it iiHiinion frwinri' »f liic rtuliiH i* one MtnalMl 
iViini oni'-luilfof an iiii'li l'< ont* nixl oi)t>-|iii)f infliifi aUivo 
llic |oH<T nniailnr Mirtiuv of the liunv, lliv iini' of frmHurv 



FKACTURBS OF LOWRH RNI) OP RADIUS. 36fi 

Iipiiif; ni4>rp or Ictm tiansvonu?, iilthoiigh it innv in wtnv 
(xuvn he »]'niMy nl)|ii|iic; tlic rliiinH'<t-rii4ie <)<-forniiU' in 
thU frat-tiirv is iV|)rax'Dtcil in Fig. 'Z6S. 

FW. »>. 




FiMClaM o( Ute mllw ncB( III lont mlrcmlir. 



Tlx- tiiiMi iin[Htrliiiil (Kiiiit ill lliv trcnliiM^il nftlii!* fnic- 
tnn- I" to cflii-t oitiiiilctc ntliictiixi iK-fim- lh<> »)){'' i'**'*"" 
iifiim- ii|i]iiit ; itii* m iIuik- Uv iiuikiii^ cxU-iLiitm Iniin Ihc 
linml, mill nl lliv muim- tiim*, hy vxU-mVtng iiiit) fU'xiiij; thv 

FNLlMt 





wnM iiikI liy niiiiiiiMiliiltitu, i)h' ili'li'miilv *iiii iiuiiallv Im- 
(■itni|i1i-lrh' n-<liuitl. TIh- iinu Hlioiild llii-ti In- Imnitclit 
into ll)i> iMwilion III' Hii|iiiiiiti<iii. iiikI u Rnii ■iini|m'>«< of lint 
w m*xl plapi-d nvrr tin- Uiwrr cml of ilii- ii|»|mt I'mf^ni-nt 
III! iIm- (Mlinnr niirtiuv i>l' lite foruinii ; a wotiitl o)in|irfiw 
in tlii'il |iliin-al >>v<'r till- n|i|M-r i-ii<) <>f ilic lnvri-r I'ntjniK'nt 
(Fi)f. -.iVi), iiml II ui-ll-|KHl()itl IIoikI »|)linl (Kig. 2«U) io 



rxAcnr 




ff li iJ bt die Mdanr 
br Ibc uttB* «# a nil 



nJW 







Min(niiM tral tliU frwian- witl) tlii' Imum) Uil 
lMTtwn.li pnmiiti'W simI Mifiiiutioa, the tlmnitt 



n-.M. 




>a (ht fcrniTi •^IL 



jBiiritintr 
|in'|uinil 



ii|iwiinl. A '■■ilHliliiti' Tiir IbiDir- .iitiht iiuiv (m> 
liv liinli-tiinif II n>Ilcr l)aiMlap> nfiUijiu'lv ti|Miii 




rRACTORES or THB CABPAI. BONES. S57 

« ^trai):))! woudcn »[iliiit bb KuggcKt«l by Dr. llavH. 
(FiK 2U2.) 

Two Ktmi^ht splintK vrUli cnnipnsMii urv nlsn ciiiiilovn) 
in tlM> tmitiuvDt of tliiH fnw-liirv, awl a va^t niitiilx-r of 
enlints have bwn ilrviMtl ; »moa|; thcwt- may Ih- tuciitioiKtl 
tiiiiw of Uonloii. CiMivxT, aiiit llit metal a|ilint of llic laU- 
T>r. K. •]. LrxHi-i. Tlu- mnei iru|K>nuiit [K>iii( in llio (rml- 
iiifiit of tbiM Iracttin- i» tltc iT>m|iK-<c rviliiclioii of tliv 
iloloniiity lit thi.- tiryl i1niw(tii(;, iin*) jf tlii^ lias \n-\-n f^iti^i- 
tiu-ttirily <1oik* iihmict niiy h|tliiil nuiy In.- iik<cI uitli ii gtHMl 
nwiilt, lint) imlit^l mhih- i'iiivr<>ni> iiw no npliiit. ajijtlyinn 
only n iDitipn-)^ over thr iHiliiinr fntf^ufiit, )it*]<l in jilaiv 
liv a xlrio of |ilii/irrr, tin- arm Uin^ iitrriit) in ii i>linK. 

Tin- iin«T-trwUiiiriil of tlu-M- fR»-iiin>ixmM''lFJ in r>-fiiov- 
inj; IIm* r^filiiit an*) i^rjniiintwn^ after twinly-fotir or lliirty- 
Mx lioiiro ami in Mjion^ing tli<- Hiirliui' of tin- iJiin with 
(lilnlcnlraliol, ami the rDmprcMi- iind splint should llicn 
In.' r<-.iii|i|icil in ihi- Hinii' manmT; the fnu-tiiru filiotitcl In.' 
ilmwicd vvery sctnincl or tliitil tliiy for thf lircl two Mwk«, 
aitd af)or thi!> tiniv it kIioiiM Iw (In-^xtl iit Ut^ frti[Uent 
inlcrvaK I'nioii i« tixiiully •\»\tv tirni :it thv onti of four 
weeks, and iljf Kjiliiit should Ik- ilis|K'iii>cd witli nt this 
tiinc. A M-riuin amouut of !it)tfn<»> of the wrift iind 
linp-rK is apt to liiltow tliiH fnn'tnn.-, wliii-h in uMtally 
WKtn uvvrcioiitc )>y jm^nvp motion itn<l |iliy)^iol>>^iiTil ii«c of 
llic ]>«r(K. 

In ekihtren 4-|ti|ilt\')md iwiianitionM or frat'ttinn of tlir 
lotver cpiphyHii^ of tin- nidinN arc ••flen niH willi, an«l thi-ir 
Iniilmcnt in »iniiUr to tliiitdi^wriltol uImivl-; a Ilond f^plint 
willi ntmpmwM or Iwo "tniijchl !<!|dint> willi oomnniuvH 
U-in^ lh<> ni'Ht xnliofu'-liiry dn-uiin>; to inijiloy in tliH 
injury, l)ii' dn.iv>tii);» Ix-iii); n-tainutl liir llirtt' nivks. 

KlLVlTI'lttW oy TlIK ('AltrAL B<>Nt». 

Ttm* ffiH-turw an- uniially ntiii|>c>iind or oinii fni<-iiin9, 
and an- >■> fn-iiiu-ntly lUMH-iniitl u-ith ■-xli-n-'ivf hui-miinn 
of till- anil anil haiul thai o|HT»livi- nn-ib-iiri'M have (o In- 
nwortnl to ; but if "Uvli i" not the va>^- ihi-y an' dmonod, 

Ifl" 




FKAOTURBS. 

wIh-ii <'«ifi)|H>iiii<), » itii iiri iiiitix'itlir ilnwiiii;, iiiul tlit- Imiirl 
iirii) fun'itrin iin- •■iiii)>>>rt(il ii]H>ti a h<'11-|ui<I<1i-<1 [nliuiu' 
K|>liMl licl'l ill |il:>iv l>v n mllcr )>iiiiH)uf;i- ; inon- or 1i-m> iiu- 

fmirrncnt in thi' iiiotiim of tlii': uTiHt ii< iipl ti> tollnw tlitm; 
rarltim. Ill iiiinitk- fnidtirvK uf lliv car|>iil lioiira tlii' u«e 
of III) ('vii|»onitii)K lotion Cora few iLivi', in ooiUK't-lion with 
lite "pliiit jiiAl tnfi I lionet), will In- (ihiik) uh^-I'uI. Tlit' 
i(n-K'>iti^H r<li(>iit<l W rvliiintil fur tliixx- or four wit-kM. hihI 
iifiiT tln-ir rx'iiinviil jiciivivc motion Klioiihl Ix- tiiijiloviil 1o 
o\'cm>mi' ibi fur tm |H(Mililc lliv join1-T<lit1mwt riMtllitig. 



PtLAOriTRin op TIIR MKTACAItrAI. I)(IX»». 

'I'tiiw rnidimM ;iif' odm inci wiili ii« ihi' n-oiili nfilinvl 
or imlini't I'onv njijiliiil lo iIh- iiK-luiiirjutl Imw!*, Tl>»' 

rio. «. 




AtiMii*ii ifdliU Ihr fmulnrw iif tkt >MUn*r|ia4 buHK 




DfiMlaf fcf iHcnra of ik* (iiti*(u|o1 Mm*- 



In'ntnii'iil of fVwtiinf^ uf tlic inHNiiiriMi ItoiHitlcoiiNiMtM in 
fim ivdiirin}! ith-tli'fiirniilv, uhi<'ti i» itnimllv nn un^ilu' 
uuv, Um- [iroj^i^iijd uf iliv luigic bciug towani Uie Im'k of 



rRACTURXS or THE PHAtAHtlBS. 



:i69 



tho hnixl ; tlitft u mliKvl liy ]inyt<im- with the fiii)^ni, 
and tlic IiiiikI iukI fiin«riii :<li(iti)<l rhi-ii Ik' pliHitl ii|Mir) a 
{mlmiir iiiliDt (KiK- -'>'*}) ^^'il'' >* I*"'' "^ «Hktiiii ur (iiltim 
under tli<> (wiln) ; n r<>Riim<H4 of lint i» tM-xt iiluiicd nver the 
Milt >if' rnu'ttirc, Aiitl til" liimd imd lon-unn urc InkiikI tti 
till- f|>liiit by tlir tiiriiA 4if H nillcr l>aiiibip^>. (yif. 21! 1.) 
A) iIn' <-tid III' llinv Milk--' niiinri ut iin- Miit nl' Inu-tnre U 
umially ijitilr linn, iitid the "idiiil iJkkiIiI )m- disjH'fiinil 
with M ttiiri tinu!. 



KkA(!T1'RK8 op TIIR i*tlAI.AM«l«. 

T)h? tnniiiiiMit or fnictureit of tho |»]iuliui|r(« miiAJnlH in 
rvtliK-ini; tin- di.4|>lu<vini'iii hy extt'itfinn and luiiiiipnlalioD, 
iind in plm-in;; tin- finyiT in a nxHilditi ^ntt.i-iK'ivIm or 
[KL-ittUiard Tiplint (Fig. 2'>->), and siviiring tin* splinl in 




QVUM'WNkkqaiMferDMniRof PImImi. (HUMLnM.) 



(Hwitiun liy the luni» nf a fDlli-r Immliip'. WIh-u tlw 
(iroximid idwlnnx in fracUinil n niirmw*. |>»d<lt'd, wiKxIi-n 
sidint rxtt-ndinK IVtmi tin' viid ut' tin- Hnp-r to tln- 



slionld In- ii)iidii-<l it]-in ilic judninr Htirfniv- of lini^T Mii 

i) II 4)'trt <l"ivd -iitin 
i^ u tcndi-iK-y to lati-ml di<'|diurmi-nl Mhort liili-nd !-|ilinlM 



hnnd, iind ii 4)'irl <l'>ivd -iitini olioidd iilwi U- n<u>d ; if Ihrn- 



idioidtl rImi W' iinnUiycd, iind llir Kidinlr- >diiinlil In< held in 
|ilni>>l>yHtn)i<ior|iljif<lrror liy ii ndk-rlnindii^-. (Kit;. 'Jl!<I.| 
I'niim ill rnn-tnn-^ ol'tliritlmtaiij^TtiHiLoiialiy i|(iiu- linu 



860 



rsAOTUKita. 



at lliopwliirtlirw weelcK,and Ihu H|)linla mu Iw diffienwd 

uitli at llmt time. 



Fin.! 




tlradsB lur.ftMtuf* uf iihkluijt ■iikkuurlor mk) pMUriM irbnu. 



Pmoturea of tba Lowar Etxtromity. 

KlUCTirkm OK TUB KkHCK. 

Fmetarai nf the npper rxtremhjf of Ihr /nnur iin* lh«! 
involving tin- mvk , timit inH-tiiiiilcr, uihI u|>|kt l-ihI ol'tho 

In ilriTwtiit; rnMlunvnrthvii|iMTi'xtniiiit.vi>riliv femur 

lilt' )intii-ii( ») Ill K' piniiil in Inil ii|m>i> ii firm tnnttn-w, 

iinil un I'XlettuHiii itii|Minitn)> inailr f'niiit ailhfxtvi' itliHlvr 
hIi<iiiI<I Im- iiiiiilii^d ((> thf le^;, extviMlinK n» far ne tlte kiM-r- 
}uiiit. 1'h<- r^ltiwiiii ii]i)ieir!i1)i<< in iitit«lrii(-(r«l bv liikiiic 
» [tiixi- of lulltivivf ]iliiH(f'r IuoiiimI liiilT inolxi^ in \iith)i 
Hill) liiiij: riiini);li III <'xti-ii<l ("nun tlie mifrr -iilf- of ihi' kiMv 
III I'lHir iiM'tii* l"-liiw Itie Milf of titf linii, nitil rmiii lliU 
|H)int Uii'k til till- iniirr Hiile of llie kiiir ; in tin- iTiiln' nF 
lliU F>tri|i ii> iiliiivt) II liliH-k of niMMJ, Ino iiml n luilf inelitw 
M'itli- niul four iiieliiw ill Icn^lli, with ii |H'rri>rnlii>» io Its 
ii*nln' ; lli<- lilia'k nii'l the inner Mirliii-e of tin- Btrip <in 
(wli Hiili- iiiT' iirxt tnivl wttli ii p>iiiii)itr Hlri|i of iiitlii-Hivc 
itlnMler III n [Hiinl iilHitii iin incli iilmve iiieli nmli<i>1ii> ; n 
tew xlnijn iir*- next woiimi iironinl the wimhIi-ii liloek In 



rRAOTlTKKS OT THK rEMUR. 



361 



IX tUf jtri'vioiinly njijiltiil '■Ini|«- : llic «trij» <>(' |)1uM(T in 
next Hfiriix-cl iiik) ii|>|ili<il to llii- »i<k-« nl" tin' Ii^ uihI lieUl 
ill iKJoiiiol) by Uinr Mniw<ir iulli(T<ivf iiliutcr i-arriiHl aroiiitil 
tilt- \vg N( inUTViiU (I*!);. tJtl'). n»il llu- [iliinicr in iiiiidt- 
iMlitiliiiiuilly .'^niin* liy lh<> it|>|>liiiilioii of u roilvr luiiKlagc 
iimiliitl 111 the RmiI mid Ic^; iiwl (nrriitl tij) li* iIr' ktive. 
'I Imxitih (he [wrl< 1111111111 Jii tin- l>l(K*k nr Htirnip i* Iiii>'ti.-IH-(I 
II <'<>nl M'liii-li |KL-u«'!« oviT It pulley ntlm-ln')! to (hi- IkiI, 
niid to lliia ii>n) U iitliw-lii'*) iln' cxli-iiiliii); wfi);lit. 'Dk- 
exli^i^ioi) a|i|>nnilu^ U-in^ njipl iitl, liiu-rnl Hii]i)ti>n » f;ivi.i) 
til tliv ky kimI llit)[li by Miul-lKifr< uiiplinl on rilluT fi'lt* ; 
the nuter kiimI-Iui^' ^lioiild <-\t4-ti<l Inuu iltir Tool to tlw 



fu., an. 




•ndM IstlBOi (AMIMm,) 



nxilln, ami ihc iiiiicr one rnmi iltc I'mtt In (lie ^min. A 
•III i>riivi-iir Irli tMillliiU IX II I till -I lit I to till' l-Xllt|llillfr 
nml till- loucr livt nl' tlii' Ixtl nlimiM )h- niMii nti 
liliH-ltA II r<-w iiK-lu-H lit^li to iin-vi-til till- |Hiti<-iit rrom kIiji- 
liiitf down in IniI ; » |<n>l ol ouktirii or ii'ttoii '■lioiild til-Mi 



wcii:li 
mm. 



H' jilituvl iitidcr llii' ti'iidu Acliillin to n-lt<-vc tin- liivl rnuii 
|inf<Mirr. Thi- dix^^in^ U ki-|H in pliiii- (or Iririii fiiiir Ui 
fix wtrkn, mid if iiiiioii linx ooi'iimil tlx' luilimt Ih kept 
in Iml for n frw u'ti<kr< lotizcr ami i^ then iillowiil in tMi 
hIkmiI ii^'ini; rrnl<-4ii-?>. In (lit' iiuijoHly oCi-nM-n orrnM-lim- 
■■!' Uh' iKi'li III' till- tVninr lil)r<M)i< union only lukvx jdiu^-, 
Biiil iil\rr <'in|iUiyiiig tlie iln'w>iiig licfun- divcritwd lur idx 



862 



rKAUTUHKtt. 



H-enkn lh<- ixitH-iit in nllown] hi ^et u|i uimI fcu Rboiit on 
(■nitr-li(«i. ft. o(\cn ha|»jMHi!« lliiil t)w< emUjePt^ la wliimi 
tlMtu' fnu-timn nrcnr htc uM iiikI IVo'hlo, ami if it b fntitKl 
lluit n-iMrniiit in IvhI uitli tlic ilnf^!n|{s lu-rc iliM-rilxtl in 
■lot \\v\l Uirtw, iiikKt such (■in-iiinstjm«* llit-v flioiitcl Iw 
iliMitnlitl mill llic ])nt)fnt r^lniiild Ik- allnwH] (o •>!! ii|i in 
ImiI wtlli the liiiili n-Htiii>: mi a |>in<>w, or in » chnir, tin- 
Inulim'nl <if lite IihuI Miinlitioii htiviitg to In- tlimv^nnlitl, 
atli-iiliiiti U-iii)^ givfii to tin- jmlieiit'Fi i-iiiMtitiitioiial con- 
ilitinii. 

'Ilic iiiihliailiiHi of a |>llL!4tc^-of-l^lriB IuiikIhj^- Id Hie jp^, 
tlii);li, uitil ]N']vi)4 IK iiImi .4(ini(.-liiiii<n made ii»e of in th«> 



nn. w. 



^■^iS^^^^'^'^i 



riiMcC'M'I'Uli laii'IaKc ii-idwil Ui Iblgb. lUtJlil.niii .) 

tniilni<-ni ttf fiw-liin* nf tlw iiiiiirr rxtmnitv nf iIk- 
fi-miiri i-xiinHim kIikuIiI Ih' idikIi' Iniiii tlir timl mIiiIv llir 
)«ntliii:i' iH L-iiix »)>|ilitil. (I-'i^. 'iHH.f In fmiinn'M i>f 
lliv n<t'k (if tlti.- iWiinr nml of tin* ti|>|NT |uirt nf tliv nhtfl 
iif thi- Ihiim' iIh' iinttTHir win- i>|ilinL of l'r>f. N. II. Sniillt 
u Mimi-lini4ft iiMfl >vilh ii<lviuilii|!is tl"' li'iili Iw-inx HHtiiit; 
fnnii till' ii|i1iitl lilt' jialirtii i" nlili- !■> inovc in Inil willioiil 
nm-itiiT liiiii iKiiii "r iliKliirhiiijr llir' rni^tiirnl?^. (Fii;. 'Jtl!'.) 
In iVni'tnn^ in (tic ii)i[H'r {inrlinii nf iIil' Iviniir m Ut-rv lUvtv 



rRAOTURKS OP TUI FKMUK. 



»{3 



is inarkMl tilling fiirwrinl of lhi> urax-r fra^niciil PntP. 
Agoew citipluvM fxtctutioo niiiile imiii lh« tliifcli iiimI 



rio- 3». 




BHHfeK MUrtor ilrilM ■)« AaoMM Of Uut Amnt. 

|)1:t<ii) tin- Itriili ii|hiii n ilmililc tDi'liiHHl |iliiiii-, iii»iii(iiiniii); 
lliin {Hwilioii iliiriii}; llii' tnulnii.'nt of ttii- iiu-c, (I'ig. '21it.) 

tto.tn. 




PnaMiif uT n««i>ic« «f uw IBnnr MUi t\%m*im iiimi w> Inellnal i 

Witli tlH- loimi- til>jiH-t in vti-w, in (ilnii' id' tlic iliiiiMt' lu- 
dinttl pLnuf n diidltlc inditMil lnulun'-li>tx utiiv !■■ mii- 



3G4 



KKAOrrnKS. 



)>lov('il, I'xU'nMion iH-iit); tiinitL- troiii Uu- llii|*li ttv inmii" of 
..... ... ^1 . . .... 

■) 



uilhi'sivf (iliisUT »lri|»' ai>)>]i('d atH)Vi.' ibv kuw, to wtiu'h ii 
Wfi^lil it atturlK-il. (Kig. 271.) 



ria-wi. 




PoulilBlnvtlaal [tMlnrc-toi. 

Tti ttic iniititifiit <it* t*nii-tiirf?s uf the sliiift oC tht- fpniiir 
ll»' ilni^iiip* iin- ii)i|>li<-<l In <]imiiii«li m> fur il« immhIiK- llir 
shorU-niii^ 1111(1 t(i pn-vt'iit iui);iihr ur mtur>' ilD^iilacptiicnl 
oftlic fnLjfiiK-Mt)'. In dn-Ksiii); lliitH- InK-tun-c thv jwticiit 
should Ir- ])1tttr«l ii|>uii n fhic-liin-lKil urnn tmliiiiirv U'd 
with :i lii-in liiiir iimttrtTuc itn fxli-iifioii ii|>jiiiRitui- tifiul* 
hi'Divt' pliLxter i?i iijiiilictl iiixl txli.-iiHioii i* iiiwlo l>y ii weight 
nllaehcd lu thiis iw ]>n'vioiifl_v di-^iTilMtl. I^citt-ml Miiiifirt 
is jrivcii t" ihf limh h_v ihc ii|>|>li(-»ti<>ii uf tw« m<h"1iii 
t>])lint«— lh<- iiiitcror long oim- f3(lcn<lin); ffuni lite iixillii 
b>th<.- luul, iht- iiiiK-rumhorl •inccxkiKlin)! frinn tht- unAn 
to t\u- fofit. TIk- PiinntK lit their U|i(H'r <-x(n-niity Mhoiild 
W- idxinl !>'i\ iiirhcK in uidrti iind nl their Inu-t-r ■■xtn-mily 
uUiiit ihit'i' uiid II hidf ih<-)H^. 'I'hi- H|i1inti^ iirt* wri|i|ktI 
in u "plliit I'hith uhieh i-xti-iid!< fiv>in the loiil In tit'- t^niin, 
iitiil iif\vT til!" luiH iMX-n jilai^tl under the limb the Hjdintu 
atv list-il in their iimjaT |Hv>ilionA, the short one to tin- 
inner "ide, l(i)< lung itne in the oiilcr !«Htr of the limtx. 
lii'lwt^li l)iv liinh Mtid the nidinl.'i iin- iiiIer|HiMtl hnin- 

Uig-; tJi Iter hii|; should In' long enntigli lo exieiul fr*>ni 

(tie a\illii In the li-il, tile IniM-r nne fiixu the groin In tlir 
f<H>I. The .'>|ilii)(..< iiitd hntn-biigs are held in |daiv hy 6vv 
or fix »tri|in nf kinihige [nHriiiig niuler the lindi ami ImhIv 
anil iinmnd the i«|>lintK iind bran^nga at intenalti. The 
hifl id Mived from iira«iin- by jilaeing a wad of oakum or 



rRAOTUBBS or THB FKHDIt. 



S66 



mtt»n iitiil<'r the Uiiilo Ai'tiillis, iiiul nfivr ihr ^|>1inU liavi' 
Ui-i) l>M>iii;lt1 iiilii |»1h'v (l)i' I'triiKf of Immlii;;!' urr finnlv 
ti(<(l Id wi'iirc tJii-iii niiil n wviglit <tf ten nr twflvc [nhiiuU 
i" rilttirlui) to the rxU-mViuft •■unl. Tlic (<x>t of tltc U-d is 
iiUNit to ttn'vcnl the luiltt-iil from -iniipiiit; ditwtiwxnl iiiul 
to iillitw tm- Hi'if;(it "I till- IhnIv to ui-t n>' n rtiuritcr-^'Xlciiil- 
iil): fi'tn: AlVr tliv ti]))ilii-iilioti »f iIh- ilo'wiiip' iIic titit;!) 
>))oiil(l In- oli^liily nloliK-tftl , l>iiriiij! tJii- )i04-Mnntiiu-iit 
of iIkm' frai-tiirvf (Ik- luirvt*")) fhouM mv ttuit tlit* Hpliiitn 
iin<1 t»mn-liiip> art- ki-pl Grnih- in iilan- aixl iIihI tlt« font 
iliK's Dill n>ll (Httwunl; lliu jm iu<<iHH)>liiili4-<l hv iiDtyiujr 



no. xn. 




0(«a<W lir AMIUfB «f iiM «lNlt (4 Uw Itmrnt nltk laU»l *plUil> aM biwt-h^ 

(Ill- Mlri)w itoil n-iiiljiiHtiii^ llir lia|:» :iiii) llini l)riti);in(; ii|i 
the MjtliliU iiixl M-ciiriiii; itH-iii in |Kr<ilii>ii liy fiL-liniti^ tlic 
HlrijiH. (Kit;. 27*2.) TUv vxU'nwm ii|>|HiniliiH iiHiuilly iIikx 
not niiiiin- rtiirwiil ilitriiiK tUf (^onrsi- of tniiri)i*-nl. The 
(■xtriinion am) >|tliiitr>:ir<- l«-|>l in (iln'v liir finiror.*i.x worltH 
ami 111 litih tinir tiniori at llic miU of fni<-(tin- i.-* ifiiinily 
ildtli' linn, Ml (liiit iIk-v duiv Ih- ri'iiiovnl, .-iml itir frni-ltm' 
in riicti •^it)>|K>iii')) l>Y nioiilili'il |KLif<-lH«inl rifilintn or \iy tlir 
a)i)iit>iitioii of ii jiliiHii'r^il-l'urU T<]iliiit for m-vitu1 wm-Uh 
loii^T, nii'I nl rtn- fn<l of <-if;)il w<^-l<!4 il in siilo lo nllow 
l)i>' jmiti-iil to Im- u|> iirKi nniiind oti criili-lii-s. 

Xiaiiy mirjftiiiiH, in fnu-tiin- of lln' .thafl of tlir femur, 
|in-fnr III ii«r ii loii): i-xltTiinl Munil-fum ami a nlnrftrr in- 



366 



rBACTORKa. 



tcnini iiiM' in plm-i- nf tlw nirnfiimtKlin^ loiij; mid nhort 
I'liliiil.-' iiiiil limii-lxi^, hikI, ir <iirc ii> (iIimtv«iI to Mf t)uit 
ific >«ii)it-lHip< iiri' ki-|tt ni'i-iirari'ly iit iiiniiu-r with tlic- litiil> 
nitil IhmIv, i'.vivll<>iit riMill" iiiitv Ix* oltliiiin'*) Uy tliio fiirtii 
(if iln^wiiw. A(\<T <imMiili-ntl>lc cxiM-rirmi- wilh iKitli 
iiu-thiHl» of fimii^iiiijr liiU'nil .■•ii|>|)iirl in llw drtwiiiu of 
fnK-liinrs of tli<- hIiuII iif Uh* iV-miir, I iim wril Milixliitl 
lliul aiiinilitr tlofiirinity in K-ns likely to nviilt wtitrc tliv 
Kjilinln attil linii)-lKi>^ iin- rtiiiilnyol. 

Tlir |ilitM4T-iif I'lirH ilnivini;. iiH-liiitinir tlir fiHit, Icj;, 
lliii;!), iiixl JH-Ivin, in ciuiiloyi^l liy niinr Mnrpinix in tliv 
mrlv In-nlriiciit nf fnu'liirc i)f tin- i>)inf) of iIk- fi'iiuir, tlie 
lintl) \maf )ir|>l well t-xU'n()i-<I until tlio iiIftHttT hat thor- 
otijrlily ^t. Till- (tmibli' iix-liiiM |ila»i> mid itn- luitrrior 
iiiijtiibir win- s|tliiit arc »Im> loiiifiiiws t-tu|)likyr<] in the 
(Inwiii^ ul'frarlnn-s tiffin- nliafi nf tin- l<-iniir. 

Fmelurrs of the Stinft of the Femw in ChUdrm. 

The trtnlmviit nf thcw finctatm in vniinfr cliililnrn l>v 
fxlrnnion liy u wcikIiI atiil |>iillt'y ami liitcnil H|tli»l<i ih 
oflcn ntisntiKftu-liiry on iKiconnt of (Ix- difTKiillr in k(>*-|)in|C 
llh- |iali(>iil i|niift u\H'n Wis l>:i<-k, ait>l fmni tltc Hiilin^oiT 
lh«- (In-Mtinj^H by lite f(<(x«niMl (Ik- uriiit-. In (-lii)iln-ii two 
rrtirH of u)iv itnd ov<t I liavi- in-vt*r fouixl niiK-li tnin1il« 
in (imtloyin^ vxh-nnion himI Inti^'i^l »ii|t[Kirl livifjilinli siul 
linin-lm|^ iir mhkI-Inip', »iid in iIii-m- i^iHt-K I ninkf luUli- 
tiiiikiil fixiilion lit i)k- Milt of frtictiin-, iiml jfimni M^iiint 
diMiliMi'ini-nt of tin- fni^nit-nt>^ liy (In- •liild "iiting ti|> in 
Inii ulitn not wiiii'licd. I>y din-fiilly nioiiidin^ t-xli-riuil 
iiimI iiilfmiil |Htf<t<'l<o<inl or li-ll Hiilinlx to iIh* llii;;!i, nitd 
Imldiii); thi-ni in jiiiiiv l>y tlic liiriM of u Imwliif?-. I liii%'4' 
I'liiiiloyiil (liiit form of dnmii^ rvoii in (-iiililnii iindrr 
Iwii yc-iin' of ap' witli tin- mint wi tiffin-lory ni>iill", 

I n niM-w of fnu-tun- of tin- fcuiiir in i-lnldn'n fn>in ii low 
niontli<^ (o II yciir or ri|:lit'vn looniito of tm*; in uliom it 
if- iliHii'iill to oliinin •|iititiidi-, or wlio luiv<- to U' niovfl to 
piv*- Unin noiiriKlmii'nt if t)ii-y nn- liikiii;; llir limM, ihc 
ilmwing wliii'li 1 linvo fuiind moot ■cilt)>fiu-tory ii>n»iHln iu 



rRAOTDBCS or THB rUMlTK, 



3fi7 



Fta.Tn 



fiivl ii|i)ilyit)): II mllcr Uiml-i^i' fmm iJir f'lMil In llii- fn^iiti, 
tiixl llii-ti iixHililiri}; to iIk- <>iil4'r luiK' of itic frH>t, Ii-e:, liiitili, 
ami a\m to hiilf nf ih'j (H'IvU, ii iKc^tclmnnl or fm «i>ltiit 
wlitrli if wfll immIiUv) wirit (ixtoii, iiml Ik'KI hi |>UHiiiiiii 
l),v iIk' liinm u1 II Imitilnp' iiin-Kil fri'iii Un' I'lHit w \\w 
jH-lvii mill fitii^hifl witi) cin-iiliir tiini.H iiixiiil tli<i ]ii'lviH, 
Div Mpliiil hIioiiIiI Ih- mi iiioiildcil uH to iiicliKlv II liitU' 
liiiin- lliuii oiii'-iiiiir 1)1' lIii- rirfmnfrrcmv of tin- ihiirli "i"! 
Ii-f". If tliU c|iliiii IdHiniM* Miiliil il U (imitv n-ptiinti l>y 
11 (n-nh one, iiikI Uh miioviil niul n-ww»l 'w iiiti<-ti twvr 
ttinii tliiit III' till- pWti-r-ol-llnrin H|)linl wliivti u rvicuni- 
lii<-iiil>-il liv MtiiH' '<tirp<(iii.'< ill tlxvic- (iL'flv. 

Ill voiiti); I'liililn-n rnn-tiin-* of |Ik> fiiniir im* nflili 
irtnitnptrtr nr ifrfrn-tlirt /iitiiHrt'M ; iimi, cvrn wlii'ii «iiiii- 
|ili-u-, tlif .Hhorli'iiiii^ ix ii-xinllv iiii( iiiiirki-<), hh tlx- liiH- of 
Irmiiin- iKii|rt to K- Iniii^vt-nii', lUv )M-riu«li'utii oHou nut 
tn-iit;; coiHplitflv nijitiinol, tvliicli U.-nth 
to lioli] Itiv rratlint'iilH ill |ii«!iiioii. 

In jin-«n»-»^ti<'li rnntnn'" tlifilWonn- 
il_v ijtniild Iw roliKiil liv iii:ini]iii].tlion, 
cvi'ii il' il in iiw«i*iirv lo <iiiivi-r1 tfii- 
iiicomiilot*' rr:i4-tiir(' into ii <.iiin|iUHi- 
uni' III nniiiniilinl) tliif olijn-t. 

Mr. Brysuit n-'iiniiixttiU tltut fraci- 
[Ijri^ i)f l)ii- li'iiiiir in vooiii; ctiiUIn-n Ix- 
Itmiliii ill llif vi-rlinil ixKiliim; llti- 
Ininnil liiiil>, U)'/t-tlnT with tin- «niinl 
iiiM', il- Hi'Mil at » rijiiit Mtijilo to thr 
]H-lvi* iiimI liKitl Willi n li^lit fiilint, iintl 
iittiM'difl to n ■*rmll4- or Iwr iiUivr thr 
Ufl. (Kit!. '27:1.) 

It' iIh" ]i|iwii'r-o)'-I*«rii" rln-w^iii-; i" 
HMil, ilii> limit 'lioiilil U' rir>i iiivrloiHil 
frotii llic limt to (iir )H-lviH nidi ii lliin- 
tit'l luintlut!*-, unil i-xii-iHion hIkmiM Ih- 
in«Ii' whili- till- iilimiiT-ol'-I'iiriK liiindnp' 
IN In'itiir iifiiiliiil mill hIioiiIiI Ih' kipt iin unlit llti< )isii»tii)!i- 
tiiix iHiiiiiif )lxi*l. 'I'tir |i!iu«lrr iKiixIn)^' hIioiiIiI cxIi-ihI 
fmin llw> HMfi to iho jiclviH, iiml il in vn>ll tu lix llir 




Knroin •>< llw (ir 

itiif 1n4li%l If) TitrUMl 



WS rBACTt7RX». 

hip-}i<inl l>r i-am'iiiK wrrm] liiniN of ttir Imiiilifn- til->ul 
iIh* [M-lvi». To |>n-vtiit (lie f>|>lii>l fniiD nlMiHitUf; tbo 
(liM-]itiifri« and lHTii>mi»i; nRV-iiMvc, the ujijht |H>rti<Mi nt 
it nmy Ik- cnlnl with Hlu'llif. 

T)u' lilMi' mjiiirfil for uiiinti in fnuiiiriv "f the fi-ritiir 
in rltildn'ii i* iitiixii ilm-f- Mtt'k", iiml tlir dnw-inp- nuij- 
Im> n-itiiivHl nt dii" linti', Imt llir chilil -luuilil imt !>*• 
niliiwi^d 1(1 uw: lti4- limb lor wvt-nil wM-kn uJUt lliin ]>criud. 

Firaebut» of tkt fjovrr End af Ihr Frmur. 

TIk' rnu-ltirr^ tuH with tit (liih* |H>nioii of tlu* fentiir nrr 
iHi|)ni->v)iiilvlHiil frui-ttin-fi, ur tlupv in wliirli (Hii' nMtilvh- 
tu M-]inmtc(i, 'ir oifDmiiiiitccI fra<-tiin>> in which Ifilh ni>n- 
tlvh-H arc rs'iantlol ; (r|>i|thyM-al cliBJiiiK'liiiiiH of llif h)Ui.-r 
end (>r tin' femur, tnc^ with in youu); hiiI>jcc|s, ninv it)«n 
Iwrlunrd uilli fnK-tiirm nt thLx purlioti uf tlic Uine. 

TTm' iln-nxitiK of Mi]ini-i'*iiMiyI(ii<l fracUirpB, if thj-n- it> 
ithiirli'tiiii);, •ili'titlil if !>iiiiilar to lli:il ('iiij)liivt'<l in rnu-liiivs 
of ihc nhnfl of the li-uinr, iriiir'iMiii;.' in llic aii|)lii-alion of 
III) i-xlcnii!oii:i|>|uiRitiiM, soil limii-lrngsiind Hplints ur matl- 
luipi 1.1 j^vp tiit<-nii wimw.n; if, howevrr, th«'rp i» no 
nutrki^l rthorii'tiiiii; tlii- (livsnini; «.'iii|il(>V(-(| nhouM lie lh« 
Mini- iiK iluii iijihliitl in fnii-lnrfH involving rjiie or boUi 
rondyli-n or ('|ii|>livM-al M'ii:ir:ttii)n!-. 

Th<' dri'HMini; fin|tl(iyiiil in fRiiliin.' of ono or iH'th ron- 
dyh-ii or in i'|>iithvNc:i) ilt.HJini<'lioii of thi- luwcr cnil of tliv 
fiiniir i»iiM8l» II) |ihi<-iti|; ttH- tiinh in a lone fnu'tun-hnx 
rxlciidin); fntni (lie foot to tin- n|i|H-r thinlnf iho (hi|H)| 
lh«- Ihik In-in;; wi'll ihmI<Iii1 ivilh a miD pillow, iir ii wt'lt- 
IHuldi^l [Hwti-rior "itlinl, or n nuinMiil laii'ti'lMiiinl or fell 
^iilttT tnny Im* cmjiIoMil: if liilicr of iIii-m' ilni^inp' t<t 
t'nijilovi'<l, the njilinl or pitti-r ihoiiKl Ih- loii); <i>oiit!li to 
I'Xiiiiil fntiti tlu: luwor uart of tliv lq{ to Um- niidilli- of thv 
Uiiah. 

If iJirn' !■ tniM-li i-miHon into tlir> jitlol or fniti |«rtft, 
Inul-u^lrr ntui liiiidiimnn kIioiiIiI In- ii|i|iliitl over thv 
n-^ion of lln' iiijiirv for *>n)i' fUiVH, niilil lln- ^inMinn linn 
oitlioidiil. At lliv cimI of two wifkri it in wi-ll |o |ilitiv lhi> 



FBACTunea of the patella. 



limit ill II ))liu>li-r-of'l'iiri» rln^iv<iii^, oxti-itiliii); frmii (In- 
(oiA III Uk' iiiiildk- of itit' thiuli. Tlits diwiii^ nlionUI Ih? 
n-biiiMtl f»r four wii'lot, nixl iit tliv rn<) of lliis tiiiM- tlir 
iln-»Mii}; nlioiild Ik* n'ltmvtil. itml il' tin- tiiiion in Kiifti- 
i-iciitlv firm I'l iillow ilie [Mitiml Ut p> ulxitit i'i» fnitflw^, 
u fh«li itlii-iUr-of-l^irii* I'liliiit ^lllllll^^ In- iipjiliitl <-\(cii<liii^ 
from til'- iiii<l<ll<' of till' h-ji rn tin- miikll*' of (In- tUigh, or 
InU'nd Kiilinli of ]UMtclMMinl iimv Iw unltHtitiiUtl fur the 
plu-tiT ilnrssiiif;. 

A (vnaiit imiuutit of )H-niuincii I inuMiinm-iilof llu- juiiit 
tiiolioii u ui)t to follow- fRiiiiirm involving otw f^nulyiv or 
l»>lti condvliv of the fvimir. 



Kracti'iiks of tub Patei,i^\. 



I 

^^ Tlip (In'Auiiu; of lra<-tiire» nl the juilc-lla wtnsHtii, first, 

t ill ttii- ii|ipIimlioii of a nilli-r toiiiLi^- from tho tora to tho 

I ii|>|M-r \it\n of ihi' ]og; II wcll-inatltktl |HMl(-Hor wiuiili-n 

I s)>liiit lone i-iHiiiirli to <-xI<-imI from iIk! iiiUUIli' of iIh< li-y 

I to I)m' miuillc of lii« tliijjh, nr an Agn^-w sjiliiil, wtiii-lt bi 



na.z;i. 




Arww:* nUM ■» *M(W>«f nw |«Mh. 



pniviilt'il viitli iMTpi fi>r tin- iitlin4nn«-ni nf >'tri|»" nf nilliv- 
fivc t>lii«-|('r (Ki|;. :^7 I) i? m-xl jiliw-itl iiiitl<-r llu- limb, A 
nmall (!iim|int» of lint in ni-xl iilunil utiovr tin- n|i[K<r 
fni^ini-nt, iiml » itiniibr (iini|irf« i» iiliu-^il U'low the lowi-r 
frtiKtiifiit: H i4ri|iof mliii^ivi- plnxtiT uiic iiikIii Imlf in<-li<vi 
in widlli iiiid twrnlv-fniir iix'tM-o in li-itulli liiw it* mitldlt- 

IMtrtioii iiiiiilitHi ovi-r l)u> comiiit^*, nmt it« fiidi* iin- ihi-n 
>roilf;lit ohlMiiiolv ilownwiml nixl liu^t'iMtl lii iIm' H|dint, 



370 



rRAOTOftBS. 



or tu iIh- ik^ if A^iipu's splint lie iir-^I; (liim iiiiy Ik- rr- 
iiilonvl Uv a Mt«>iKl or lliinl i^lri|>. Tlic uhj^i-t of iImw 
•iiri|M ii> to hrtim llii- ii|>])er rnif^m-iit itowii in <'(itiUir< witli 
riif lower I'm^iiK-iit. A strip of plitHUT will) (hv cwU 

IiMNMii^ in llic o|i|K;i?iit4- (linvtioii ih lu-xt jiIihto) ovi-r thi* 
(iwrr i^Niijirtiw, nitii iIk- i-iwIo im' Hinifnul lo rtii- "iiliiit or 
)>i>p; tilt" Htrip »^.■r^'^•e only to p^Uwlv tlic lowt-r Intj^iiiiiit, 
iw it («niio( Ih- ilmwn ii|iwunl to nKt-t lli<- nji|N-r tniginvni 
liy rfwHiii of tltf iiicxIfUHilHlity or ito lipiimiiioiiciiltiK-li- 
nn-nt. (Fid- 27*1.) If tin- Adnt-w liplini i.* rniploytil ihi- 
Mr'im of (iliuticr miiy Ix- 1 i^litt-iKtl liy ttimiit^ tli<- prp* '■• 
wlticli llii>y nn.' liii>tiiiiil wilttoiil rviixiviiifr ilic splint. 

Flu, Vb. 




A4(lltW'i>i<lliila(>I>lli'.l 

TIk* nplinl in iioxt Hrnily fi\<<i] iit <xinl»*i with llii> linili 
liy iIk" liiniw oCn nillrr luiii^litiff t-xiciKfinhC tVoni tlic jowrr 
lo |)h- ii|i|H-r vm\ of till- Hplint. Tliv liriiU ^-lioiiltl m-M Ik' 
jilmiil ni-Mi tin im-lim-d pliino or in ii lon^ fmi-liin^Hix 
M'illi its limt ili-v:ii"i to nlnx llii- (innfirifiii fi'moris 
iiiiiST'li'. Tliii ilh-niiiii^ •iltdiijil \w n-tiiovitl itii'l r«ii|i)ili<il 
ill II !'('» (Iiiv-. iLi till' ilri'"Hiii|->- Utiiim- hnvm- iih |)i<' -wi'liint; 
iilioiil tlif Mill (if injury MilH-idift, nml uOiT lliiH<liMi|i)H-nr<> 
the <In**iinpt nijiiin- n<ni'wiil nl liw rni|iu>nt iiiti*r\'alr* ami 
tuimljv lit ill)- i-ml of tlinf wiTka tli<- iipliiil iniiy Ix- m- 
iii'ivihI iiihI ■ |iliu4li<r-of-I*]irin IniHlii^' iitiiy Ik' iipiilioil 
rxli-iMliii|r rn>ni till- nti'lilli- of the l<i£ to llii- miililli- of llir 
tlii^li. At till- i-ikI »f fix uo-k^ tlif jiiitit-nt niiiy U' allowtil 
to will k ii|)on till' Kiiiii, lli>- kiKi-joitit Mofi Bxctlwiiltn 
|iljiHlfr-4if-l^iriii iir imotiUunl Hjiliiit. 




rRAOTLTRK OP THR BOXBfi OP THR I.RO. 371 

It U wfll, itfU-r tliR rviiHAiil »\' th<- !«]ilintii, lor ihv 
jmlii'iil to U'lwr for Mime inotitli^ u lioiil iiiiii'liii kiiti'* 
"iiliiHirli-r, U'liii-ii pvcs muiii- :<ii|i|Hin Iti llic kDif-joiiit. 

'I'lii- iiiiidit ill rni>-1iini< iif till- {Nih-llii !» ii.-iiially liliiMU)*, 
itlllioii^li ill nirx- iuM» Imiiy ni)ii>ii liti.-> •H-riirntl. 

A |;iv»l \iirtHy nl' Hjiliitlii hnw iNfti <1<-vtMil uihI imi) 
ill the tnvliiK-iit <il' rnu-tiin'n of llic |sit<-llii, llic iiuiiii olijivt 
of u'liirli iH Ui fix tlic kiiiv-J4iiiil iiixl linii^; ihc fra^iiicnU 
uH iKiirlv n.- )M>r»il<l<- in ii|i|H>Miti>iii, Miilpiii;iK-'H liiHik.« or 
Irf'vi.i'n riKxIilinttinn of tin- rinw iin- iiiiiilovf)) l>y sihiu* 
niirvptiit-* lo (i^^iin- I'liiM- fl|i|HiKilioji of tin* IniiiiiH'iiI:*. 'I'tii* 
mHlioii of Inntriifiil in rnii-ttirc-ii of IIh- {Mtillit, wliicti ooii- 
suits in cxiHieuiie tlit- fni|i;ni«nt» tiy an itK-iMoii and drilling; 
ami Hiittini)^ iFk-ii) vritli mtjiiit or hiIvit win* Mitun-.i, in 
»\tvt rni|iloyit) nt tlic ])n^-nt lime, tlic otrii'U-st uiiliM-iilii- 
iircciiiitioii 



iiiK 



I' 



III iTiH»>ir rii|>litn-<if'(l><' litirini'% union iii'li-r fnn-tiirt- of 
till' imicllii, wliii'li i* not nil uni'otninoii im-idctit. lln- tniit- 
nii'iii of llii- <siM' >d>iiiiM Im- ilif wiiiH' uf thiit for » rwriit 
frjuHin- i.f tin- |Kit4-ll;i. 

FRAITUItK OK TtIK IltlSW OF THE htXI. 

In fnHiurvsnfliotlt iMiiH^of ihc |«if ili4- tlinjiIiM^nuMil id 
iiriiuiDy very nuirkti) ; wltcii nw Umc unly U l>niki-n, lltr 
miiiml iMinc, iH-lili); iix il Hjilillt, |)n>vciilr< imik-Ii ilflortiiity, 




fMcturptei «Uli mmWaidn. 



cxn>])l ill <«M- <»r rrwlun- at tltr lovr«r tixl of i)h- ftlmln, 
\v)irii lilt' fiHil iiH'liiicH lo itii' iitjnn-il niilr. 

TIm' iln's^iiitf tor fnictiinvi of Unli Uimw of iIk- Iti; or 
fur fnu-lun- iif llti- llltia nr AImiIm ilIoim', fx<i>|il in ttiMiM 



372 



rkACTCRKS. 



wbrrr ibr lirtri-r pnrtmB sf 1^ filiala if ihr iw«t u( lajurjr, 
ij> li«t amtiutili4w>l br ihp imp of a frntun-box. { Km*. 
'£76.} Tbr ilir>|ilai-vni4^t IwinK owmmv ao fur a<- |»i^iliTv 
liy <>KtPD^ti anti manipalatKMi, tb« ke >* t''^^**' *" * 
frni-tiir(~U>x, whii-h is pfV|nnil for iIm- n<i-]ilHin nf tlin 
limb bv hxvin}; the lucin Irt down ami bavin;; n mil imIImw 
bid 11) it; ihr fort i« nrxl mtuiwI bi iIm- (iaillmni liv a 
Umtt iif Iniutaci- |ttfv«^l arouuil Uir fi-it, tlir rdil* Ivirkft 
lit*) afkiT [Mwiii||: llinxi^ti ibv ftltite in tht- fiaitloMiril ; ■ 
fmd of uakuiu »r mditn u (darvd under tltc tvulo Ar4iillL-i 



^ 




til rr]i4n'<> th<> htt'l rmiii iiniwiin', miwI ■ Miiiiliir tvul i» 
|iltiiiil U-tM'ix-ii rill- tHilr (if llii- li>>>t nml i)h' liKiiUnnl, 
(l-'ifl. 'Jll.) Till' bhIit >■!' (hi- In"\ nn' llii'ii bivii);lil ii|iiil)(l 
Ni-iintI liy Iwo iir ihiXi- "(rijM nf tKinilii^- tH""! nr>»iri>l ibt- 
Ihix. In iifliiiu n rmciim-lHix in die t ninnifiit nC Inuturcx 
of iIm' Ikhk* III llic Ui; llir olirKVon fluHild w)' lliiil tin- fwil 
i^ kfiii wfli iIiiHn to till- fiHillHiiinl bihI i» ui n n^dt iinfrlc 
uiti) lli<- li-K. ('"*( lion' ih ti'i i-vi-rotiin urtbi- k no' nml (liiil 
till* |iill<iH ix fnll ■■iiiiii|;)i tn make iijiuilili- j>rt-viii>' ii|miii 
tin- li'i: ^^Ihii ilic ■idi'M of the Ihix iiiv iitmil, nixl iliiit the 
ttii'l i* mil on I •Jit-Ill I to iinddc (ir-i-wiin^— tlif- iihi< nf ii |iiiil 
of tiakuiit itr ntimn iitMh-r t)H- tt-ndo Arhillic Ix-iiif; <.iii> 
liliivtil Im iiirivrnt llitN iiiiiiiilii-utiiin. Wltrn* iWrc in n 
K-iHlcncy tit lilliii)t ii|iumnl of tlic lowt-r i-imI nf tht- ii|>|ir>r 





rRACTDRB OP THE BONK8 OF TU K LBO. UTi 

InitniivDl tlte )owi>r fn^ment can be bmusht in lin« witli 
iliiM \>y raising the f'tot \ty a man of ookiini or votton 
itliKvtl iittdcr t1)e leiido Acbitlis ant) Itwl, and mi Mvcrcvmi- 
itijT llic <k-ruriiiily. In wmc <b6«h division t»J' the tciido 
.\i-l)illii« may Ik- rctjuirrd Iwfor* ibis deformity ran be 
(•onrvtwl. 

TIm- anlHictint-iit iliviwinjfs of the msm are romlui'K^ by 
l<-t(!nf; rl»u-li Uk- tfiilra of the bos and correotiiij; any tlis- 
|)lHci-nK-iit, if iin-wiil. by ndjiutias: lb* limb and |»ads in 
llu-ir pmiNT iwitiwi. aiMl aeaii) brin^cin;; up (be HitWoof 

In. :.v« 




lluiBr l»i><l*i;Ta|i|ilkit lurni'lurcof u.< ^k 



ibc box aiMl M-ciirinK tlH'iii. At Hw md of iwn or thm 
wi^kn ibe fniittin'-l">x may U- n-niovitl nud a |iWtiTHif- 
i'um iln^iiit: riiiiy In- ii|»|ili<tl to ibi- limb, »lit<-b uill 
allow Om- [Miti<-iit nion* fifitlom of movciiH-nl in IhiI, or 
(M'miit of liifi -iltinf; ii|i wirboot tliKliirbinf; lbi> frtm^n4>nlii 
(Fiir. ^TtJ. 

I'liiim in fnidtin-H of ilic iMimw of tbc b-g in ii»iiiilly 
iiuilo tinn ill fix M<i-k», bul tin- jialifnt I'boiilil not Ik' 
uIlou')<il to |>iit bin wi'i^bt ii|M»i iho limb in walking Cor 
lit Ku^it fi^bt WM'kh. 

17 



•74 



rSACTCrilB*. 



Ifllw fM'ina i* ittdaH, •od fed* ttW povtiaa muh ik' 
AaH«n>-lHis rmiaf vfMi thr !>«( irfe-iMiM*, tkr ft mmw ^ 
Im mav !«■ awunfc ff*"'* * rnune faMinwd <mr ihr hd 

Tlv «|ittlM-nf»>(n nf B fihgHf n^Rwi* drannje an a 
lirnrarv drrwnic— tJ>r "nlinary pbxlrr-'ir-l^uv tMiiila|.i 
iir Umt tiavariaii •lrrviufp> lirine «]j)>li<4l — tu frartum> oT 
tkr bunm r>f U>- Ire. i* ailiiirtn) bjr mmuk iofgnaai, and, if 
■■pinnd, the nwr -Ih«ijI<1 («■ undfT r iii> aH t wp c ubiu n 
fiir a wir >)■«•, wi iJuit ttic <lrrMicif! mn Iv n-rno\-r4) if a 
Ja o K r n wnmniHiir'inlliii); tiik>^ |iUrr. M--'iM<il-<|tlinto 
iif Ml iiT |cii>ii-)Kunl HTi- ulwi MiRM-tiiiHv ii|t]itin) iu thr 
ImUtBTUt Iif tllfM- fXmn.. (Ki|r. 2iM).) 



4 




nsMiUv-tan MiVBINU4, tUntW.I 



KRACTURK OF THE BONES OF TU E LKO. 37S 

111 (wtieiitA hiifliTin); willi <U-tiriiini trcnieiiK, or in 
luiuiiiiral iKitM'nli^. Uip UH." of II rmc«iin'-lH>x: in thv inwl- 
iiioiil of tra(-lur») of thv Ihmick of ili<- It'c i* olVn nu4 
aatiiiliu'torv on an^tiinl ot* ihv tliflkiilty in rf^miiiiii^ tlio 
niiiVdiinilK of the |>nticitl, iinil iIk- iiinsci|U('nt <li'<)>lii<v- 
nunit 111' tUt- tmtniu'titx. In mk-Ii wikrs ii U wt-ll in iipjily 




HMhM Mi4a-i kunl qdlal* *» fmvMi* (J Ow ht. 



a l<-w otri}in nl' )>iii<l<T'*-lHiiinl, kiH |iii(I<Iii1 wirli oiilnn, 
til iIk- linili, i-xli'i)ilinK iilxivr nin) Ih-Ioh tlit' M-at of the 
fkaitnn*, hoMin^ tlM'in in iiliuv liv n (pvi turns nf u mlW, 
and lln-n tii wmp lli<- limii nw\ ffxvt in n N>f\ |iillitu' biuI 
liolil thi>< ill iiliui- l>y llir Uinif nf u mlltT l«inilii|;i- iijiiiliiil 
Willi niinli-niti- firiiitii-". Tliit ilr<-wiiiir ullovi- lln' jintiiiil 
III niiivi- tli«' liiiili ivilltiinl n'rioiin ilii'ltiH'uitii' of iIm- I'nig- 



FRACTUKKS. 

irinitn, uu\, n)lr-r ttir |Nilii-nl m-uvcrs trnm hin attiu-'k, ihe 
\i^ iiuiv Ih' iilHii-d ill tlic Trwiiin-'liox, or ia a [ilBstiTMif- 
I'ltrj* iln-twiii^r. 

In fni'-liir'-i of l)u- ImrHfi of tho 1<^ in f/omiff aM ftfr m 
ihi- Willi- tlilltciiltv ih iifli'ii <-.xj<fripn<vd in kivpiiij.' th>*ni 
i|iiicl, iiii'l lor titin ntiftm u rrwIiirr-Uix launot In- iisnl 
Willi Mili»l(u-(iou. In drcrtsiii^ Htvw niMS, two lab-nU 
•[iliiilH iif iKiMta-tMttird, miiiil(l«l to ilit> fiMji and U-\[ ami 
well luiilil'xl willi <"<Htoii, Miav "ft*ll be PDi|>lu/ed with the 
[ml riiMilii'. 'I'hi' "(iliiiitt "lioiihl not Im' wulc enou^li to 
ut'l-t nil lln- Hiilrrior or jMi-^ti-rior Miriafv of tlic l«>g or font. 
Till- niiliiilfi, iiHi-r Ih-Iiik iiin-fiilly a<ljii!'te(l, iirv hi-M in 
|ilii(M> Ity tlu> liinui of a roltrr luadap-; ami, afU-r iIm-m- 
•|illlltii h»%'i< Ui-n »]i)ilir(l for lw» weeks, uiitl nil e^wt'Ilini; 
luw miliMttlitl lit thu Mill iif rrui-luiv, a iiIiir>tor-Df-I'uri!i< 
ImiiiIjiki- may tic niilmlilnliil Tor llicin, which nhonlil lie 
Morii r«ir ihnt' wii-kn ; al ihi- i-xjiinition •>!' thi-^ tiim- iii)i<Ml 
id iiaiiiilly linn ■■iiiiiijth to <lip-|K-iiM- with all <lnt«iit|fi>. 



FUACTLMtW or TIIK KlHt'LA. 

lu rnii-tiin« III' (lie lilmlu, willi th(> exmili'Mi of that 
('raDiin- iMitirrinti nl lh<- loner t'wi nf ihi- iMim-, the Ue- 
liinnily i* iinl iiiiirkcil, ami llicy nn* iiMuilly dn^w'^l wild 
K InU'tiin'-lKix a|)|>lir<l a* In the- ilniMitf; ul' rnu-tum* nf 
Ixilli Iniai-" lit ilir ]i'\i, uikI lit the I'tiil of two wii-ki> n 
)>lu*li'i--i>r-|*ariii «lrpMiiii);i>hiiiihl lM'H|i|ili<<il,uii4l thf iKtliitil 
lim\ Ih' uIIowiiI ti> fit'i out i>( Utl un<l tiiovi* niHiiit ihi 
mil'')H-<). The union in a Inn-tiin- of the flUilii in nfnallir 
■(iiilc finn at the t'lid of five wit-kit, ami all dn-snttifDi mmy 
tw' 'li»]H-iiM'<l with nl thill liinr. 

FmHtirt of ihe Ijotcer Iwtl of the Fibttla, 

Thi" frni-lii«' n-iiiilly ofitin" in the lower fl(\)i of tliv 
ImiH' unil in ofleii arwi'iitUil with a Inci'nilioii of the In- 
leriml litlinil li^iiinenl of the iiiikh'>ji>inl or a T<)irain-fr)H^ 
tUD! nf till- iiiu-ntal iuBlhiiluii,a»<] ih umiatly ai(xi>iii)NiiiiHl 




PRAOTORBg OF TRB FIBULA. 



877 



h 



■ 



lir iiiaHic^ pvcntHin of ttur (tuA, TlitH rrarttiirt k corn- 
moiilv kiMiwn as PoU'* /me/ure. 

In litis frertttr? ufttT n-dwinB t)if diMpliKViiu'iit by rx- 
tonsioti and nmni|mlutiuii. the litiili elimiiil Im.' pliwoil in ii 
fractiire-tm)! pniviilctl with ii »ni\ jiillow. tli4> loot xhoiild 
beBci-iinxl to tlie r<N>t)Hi«r(l,aml a (khI of (Ktkiini or i»tliiii 
^Wiild Ix- plni-«'<) uimUt iI)o tomto At-liillir' ; iH-fiin' lirili)^ 
iii^ lip the Bides uf the i>ox and stTurint; ihi-ni tM't> firm 
oomprcMcs of lint or oakum should Im- plii»-4l in cinxwrl 
with the Iqc, onv jiiKt above the inner nuilloiliiii, the iilher 
jnst Ih'Iuw the outer Ditilleuhis. The dwlett of the l»ox lire 
next hrtiu;;ht up ami Mv-nrtt), am] hy the prr«»un- of ihew- 
uimprxiii^w the foot U hraiij^ht iota nn lUverted |Mxf<ition 
unci the deformity in eorreettd. 

Tlie afteiMlreBMng of this fnicttirc i-oitvif^ti' in li-ttiii]; 
down the sidea of the tkix, ami in iiiHixiiini; the piirt* to 
Bcc tliat the foot is kept in tht' proiwr position, and rare 
should he taken to see that undue pre^ure is not nuide 
Uimn the mkin hy tlie <v>m]in«M-s, which nii;;)il n-^nit in 
iile«>mtion ; thlM may he avoided hy liiion^'in); the skin 
with aleohol and ehai>|rinf[ tlie ptmitioni^ of the <-ompreEBc« 
Bl>|(htly at tw\i dre»<in>;. At the espiratton of ten dartt 
tJiu fnu-tuK<-box an<l eoinpresM-F) may be removed and the 
limb uiiir U- |Hit up in ii plnf1er-of-['iin)'dre»-inK inelmlint; 
the foot and h-p up to the knee. The ]inli<'nt may then 
Ik* alhiW4\l to p> aliout on enilrhet' iiml at the emi of five 
weeks nil drewinj^; may l>e diiipenoed with. A tvrlain 
nniount of KtilfneMi ami even (K'nuanenl im|i»innent in 
the motion of lite ankle-joint often results from th^iw 
fmelnn-M. TIiik frai^nn- it al^i dnwitl by mivnK of 
/hi/mymr* ti/tlhU. whi<-h <v>usi»tM of a >>tmi);lit w<HMlen 
■plinl lonK em<ii|ili to extend fnitn the i-ondylex of tlH- 
lemur to the en<l of the Uw¥ ; thin splint iTi pri'viikvl with 
|in<ldin)>, the thirktvt |«rt of uhieh, M>veral ineheti in 
thiekrieiw. ohoiilil n«l upon the fkiu just alH>ve tlte intMT 
malleohw when the splint is appliitl to tlte inner i^ide of 
the hi*. The xpiint [f. uppliiil to ihf inmr p-urfiui- of the 
l(^ with itie ihirkivi [mtl of tin- ]mh\ ro^tiu): u|miu the skin 
jiirt aliuvfl tlw- inner malhidiiK, and in niiitt^l in iNwJiioii 



378 



FBACTURKS. 



by Uie tiimi> of a mllor a|t)i)i<>H ovrr titi' CimiI nml nl tlx- 
U|))H-r (wrt "f the Uy. (I""i!:. '2><l.) After iiciiit; itiii iir»™- 
injt fur II few (lavH if {ho (lUpUii'niciil U ^tlinfiu-lorily 
(tirnvKtl llip Hptiiit may Ih- ivnioviil nml liu- liv nwv U* 
|)kn-<l ill n fnwliirv-box nr in a nliu*tpr-4>f.|*i«rij* nniwiiig. 



riu. SI. 




DnpnjiKn'i ipUni ■ppllei. 



TlitH Niilinl, wlioh npiilUnl witii juiHiriciit DntitH-ixt to 
(•(irrtHH tJip iliH))tti<viiinil. t* rmt, it^ » nilr, ii (iitiil'irtaltlc 
(IrcHf^in^ to tlic {uilii'iil, mi (Iiiil in itrnctui- Ihr iiiv nf thf 
fRtiTliin-lxix nitil (iiin|iri-wi« will Im' IuiidiI n tnon' ■■(»iii- 
tiihiililoilii-.'iiiug 1111(1 uw niiitilly nutUfuilory lu mrmling 
Ulpilrtortiiitv. 



Fnuiturofl of the Boaea of the Pool- 
FHAnTHiM or Till: Taiwai. Boxes. 

Tti*' cnltyiiiruM iiikI lulmi/tilnx iirt' tile tnisnl I>»i)c8 nuwt 
rn'<|<W'tiilv I'nii'tiin'il. Till' iln-KMii); of fiiu-tnn'^ nf tlir 
^lUvtnrum nOcr niliH-iii); t)iv ili><|ilmviiiriit, which '» iHit 
iiHiMilly iiuirk<'<l iinloii ihf |Hit4i'rior |N>rli<ii) of tin- lunr' 
iH litvulviil, hy tiuiiii|Mili(li')ii, iiiiiMtMf in iilinin^ the h-g 
mill f'Hil ill II fnirluif-lMiv, iukI itin' >JiiiiiIil Ih' Inktii in 
ivt- ihiii ih<- fiHit if. ki'|il al u ri|;li( iin^flc In ihi' U'g. W'hvn 
lh>- tWirliin' iitvoKiii (In' |Hwt4'n<tr |H>niim of tho liOM 
uikI tht'M' i* <lih|iliitviiH-tii )>y th<- iiiiinii of the innNcM 
Inwiiti) into (he fmin>Miil, lhi> l«i; hIioiiM U- Ht-xtil ii|imi 
the lhit;h nn<l lhi> f'vit fhniihl Ih- <*xi4-tHliil ; thi» jioMtiion 
iiuiv Iw mniiiluiiMHl liy ii[>|ilyin); ii ut'll-iuKMiil t-iirvis] 
<i|illnt to llit> unlvrior pirtinti nf thn Ir^ uihI Iiiu4 uimI 



FRACTURES Of THB METATARSAL BOtrKS. ■')79 

HctiiHiiK ■< iti |i<)t(iltiin hv « lamluyc. <>r ibe ninw n-Mill 
iitiiv In- iibliiiiMtt Itv a|>j)lyti^; a IkiimI i>r ]iiu1(l(il tiOliir 
iin>ii»il iIh' iliiuli, w'iiii'li iH ntaclr iaat liv u (.-onl or )itni)i l» 
titi' ImvI of a liliitjHT itpiilifd to iIip foot. (Fig. ^2.) 



no. IK. 



'V^. 



.tpfiiMat hr fimnufr nf pMinM fonlon of On nkwivun. (ll^muiM.I 

FnMHiiixf of iIm- iiAtnif/riloM, iiftcr rciliirin;; aiiv (Icfonnilv 
wliii-ti ift |in-M-tit liy fXti-DMioii ami tii»ni|Milalioii, arv 
dr\<«H<(l hv ()liu'tii|{ (lie r(H>t lint) Itt; in n fnitiiiix--lNix, mra 
Ix-iiiK liikcii l<> NT ilitit itif f(N>i is ku)>l tit ti ri)>)it nn^lc fo 
llir 1l-^. Til!" |int-»iitioi) i* irii]H>rtiiiil, nt. iinkyloiif- imt 
infni|iutitl\ iMi-iir> ufliT llii> Iniiliiri'. nml iftlti- (^•^'l 'i* in 
itu- |in>)i4-r |Hnili<in ir !> imul) more ii><i'riil to l)ir |Bitifnt. 

Ah Hxtii iif iIk- ow'flliit);, uliit'li i« n»iint1y vt-rv imirktil 
iift^T fnu-turv of Uh- (II )( mil -It III or tiHtni^iliix, fmtnitlcx, the 



Tin- iihioiitti of it'tiMoii ludl III** inaliilirv In M'fliiMi 



fool wkI I<-^ I'lMinld 1h' pill II]) in ii itiiiKlrrHif-I'aria IihihI- 

■ lliv 

ilic iliHiiIiui'Dirnl in niw-H <>f fnu-tiin-of tin- iiKim^liin may 
!■■ iiKli<Titii>ii>> for rx>-i>ioii of tl)v fni'^liin-'l Uihf. Tliv 
tiiiu' n^iinirt-d fi>r union in fnu-iiint> of l)ti- tnrwi Ihiix't' tM 
froiu li%*(? t» nix wrtJcK. 



Kkaiti'kix or riii; Mki-atakhai. Honkh. 

'I'lit-M' fnuiunw uiw ilrvwnl by )tliii>iii|i tliai RniI n|Min n 
H'i-ll-|inili|>i| iilnntar K|iliiit, nixl Ur-ii\)i oimitrisncH to lioM 
iJii^ fra^lnl■lll^ in |tliHi- if tlivn* in iiincii (liNfiliiivuir-nl, tliv 



880 



rSACTITBH. 



•plinl nnd iiirii[imwri beilifc h<-M in poulixn tiy ■ Iianrti^^ ; 
or tlwy nint >«' tnated In' jilnriD^ iFw fimt itmi li-p in a 
|irwliin--lNi(, tiif- fiMit-lHiiird urtlu- Imx lu-lint; a* u jilnntar 
oplint; tlw \}\aitlrr-*if-l'nrv' tlnxiin^ mar ali-) In- iukxI in 
UN-«v (Wit. Ttii' lime rv«|uiml fi»r union in frar-iunw uT 
the inrlaliuml Uiticx in fruni thnv to lour uavkn. 



KKACTI;R»4 nr THK PlIALAMOtS DP TIIK TUIM. 

'Vltne frwtunw ■»■ ofti-n ci'mpound aiid altcwltd with 
Ml miifh lon-ratidn of tliv mtfl {larlf^ thut immcdiali- luiiim- 
lalioii tft nvftiirril ; when, howcvi-r. the Ihu-tiinii arr smi- 
[ilr, <ir in i-»iii|H>iiiiil fnicttin-s uh<-rv Hni|iiil»tiun ifi not 
nNjiiintl, tlx' iIn-H>iiiL; •viii^if^lf in niijilyint; a iiluntar i;|»1int 
(irwiMnl or l>iii(li-r'H Ixuinl, uxtcDilin); U-yunJ the locfi ami 
im-iirinit il in position liy the liirn» of a rulUr baiMlap;. 
Wlii-o n Kin^lL- Uw only in broken s monldnl Htiliiit of 
pitta-iH-n'lia or ItiixK'rVUiarcl may lie ajiulinl. ana a |Hir- 
lioii <if tlic H|ilint i^ltonld extend •winie dutumt' ojion thi' 
Mill' of llii- fool, III fix the [inixintid joint »n<] ali^i to giw 
il n linn jHiiiit of tivalion ; the inonldtti oplint t^tiould \x- 
Iti-ld in jHMilion liy a narrow rollt-r bamlu^ or br Btri|Hi 
iif wIIh-bivi- |iIiift(T. Tile liniu n'>(|uin'd for union in froL*- 
tiinw of lli<t |klinlan|i(« of lli«- tor« in alNHil llinv wmIca. 

Il|I»*<IMl UK (\>H|HMTKD OU Ol'IlN FKACTt'tlUt. 

In lite ilnwtin^ of coniiKinnd or i>|M*n rnMinmi tin- i«nil 
driKfin^ iin4l Mjilintn wntdt an- )i;:cn«>inlly iiMtl in tlM 
tnmliiH'nl oC Bi(n|ilf or rl<«Hl fniiHnr<-» nmv !»• ttnulovfd y 
tlif wonnd in Ibi- will |>HrlH rfinin-!) n s|H<i-ial iln^vtmi; uikI 
lliio alxtnld U' HI iirniniti'd an lo M^-nn- fn-c dniin.i^' and 
i>ri>niol<- Uf |initii]>l licrilin^. In Mimr iiim-s of ii>iii|HKitid 
IWdin' llir In'iitini-nl of llii- injiiriift tif tlif wirt jmrlM da 
tnaniU nlti-ution tint, uu<l in oneli ihm-h tb<- injury lo tU 
ImiM'w ij> for n (inn- di«ni:»r<lttl. ciin' lu-inic tiikcn to m 
Unit the ftii(rmnit« an* kept ([uiH mi ilo to prrvrni ftirlh«r^ 
illintap- (•> tin- Nifl (uirlH nntil the Mound i* in mh'Ii 
n)n<litioii lluit tJir |>n>)MT niiuii)inlalH>n lo rrdiin* Ihe tlii 



} 




DBISBINO or OOMPOCND rRACTUBIK. 381 

JibtWDHilit nttd fix llir fntfpiinilH hy iwlinlH niid ^uitiiUt* 
IrvHrinpi (iin h<> uiHlt'niiktii witluitit iiiiiTl)>rinf! with tin- 
rfgwir of ih*" wchiikI. 

Ill iliF (ln*Tiin^ of <iiiiiiM>iitiil ttr ct|N'ii fnt<'timi< tiw nkiit 
i^umMiiKliti^ l)i<- HititDil kJiiiiiIiI )h' timl (iiri'fitlly rlcAii.-^iI 
»iid tliv uiiiith) ■hoitli) iK'xt Ih' rltcir<>ii);lily )rri};i(t('<l uilli 
u I : ^2IM^) liifhloriilo .'«>lii(i(in nr n I :-IO <tir)Hilii' siiliitioii, 
hik) liny foriMKo ImmIh'h *>r I<>»m' fnif;in<-nli' 'if \h»v ^tiDiild 
\w rcmiivtil, iiikI if Omti- in iH-iiiorrikiif^ it hIiohKI Ix- (vm- 
tnilhil l>v w-iniriii^ ll)<- hloHliri)! viivh-Ix uitli liir'tiiriw. 
Tilt' Dililt-lioli i>f till- ilinjiliiii-iiicnl hIioIiM next Ik- mx-xlll- 
r iilislKtl liv iniikiii>i I'vli-iihioii iiiul liv miiii)|iiiliitiiiii {\'i^. 
2M:t); iftlw rn>^ni<'iiti> |in>j>''1 fnmi ttic »i>iiinl. Ih'Iuit tbin 



Kiu. an. 




(lin Ix- KNliHrni-l>>r!ly iXiitlllpIirJlnl l( limy In- iinK-nMin- tu 
ftilniyi' llir wiKiiiil, niiil In n-iiii-l t>ii<- or IhiiIi ■■ml» ul llii' 
frai-iiinxl lH>ri<-^, iiiwi in mhih- i-rn-" it miiy In- inii-w^ry t" 
tirill till' iiiilx iif till- fmciiK-iiin iintl iii(r>-tiiii' n -tnui;! 
win* or <iit|;iit Miiim*, «r ■ mrtiilHf tuiil »r N-n-w. in Ixild 
tlirni 111 llirrr |>ni|aT iMMtintiM. Al)rr ntlii<li<M) of llu- 
ili?<|iliiivtiivti( ihv utMitKl tlioiili) agam U- llii>n>u>:lily irri- 
i;;i(iil with (he iiiitiM-|ili4- Mihitioii, hikI iifhT iiiiiLiiii! \m*- 
vi>i>iii for ilniiniiKi' l>y ilic inirodin-tioii nrit ilniitinp-riilM' 
i)r Itiln'?', ittiiiiliT-o|H'iiiiiir' li'iin* mwh- In nniin- iViv ilrnin- 
iigif if iHXHtMin', i1h' (IrfMuiip- Hliimhl Ir u)>[iliiil. 

IT 



rRACTlTRBS. 



TIh- wimiimI. if n "nuill imr, uml ixit U- <-li>«>il wi 

Miliin-v : Ikii if t-xi'-u>ivi-, a fiw aU)fui, -ilk. i-r ailkironii- 
pil Mitiin-x riia» I"- a|ij>li<^l IitLriiij; flM-cdf^vK -if th»' »>niinl 
iiil'i n )>]>»• it ion. 'nrv- la-iii;; laloM |i> aviiiil Dutkinc iiikIih^ 
b^wiiin ; W ttit- M>n |sinn liavr lin-ii niiioli ItKi-nit^ at niQ- 
tiM-ct, il i* larttrr to iulnaliKr on -iilun-. A flnaJ irrii^l- 
tinn ttrilti- wiiuml titnxiifh tlii-dminniri-iulN- 1- m-xt oimIp, 
aix) tlw woiiml i- oivi-ml by a iitcix- "f pniUftivi-, ami iIk- 
• inliitiirk jpiiiw iln-winc •JuxiUI Ik- a|>|>li<tl. ntwl nurn^l 
l»y n ntiiiiU-r nf Uvtr* <>f ^lt«^ll^>^i'^^■ iiitlmi, tUr wtnil'- 
<ln-wiR){ In-int; lu-M in paaiitiua li^' a i^un; tnuiiop.- ii|>iilii-U 
witJi (n'xli'ratr finniK^w. 

Tlir n<lii<-lii>n itf itir frainufnift amt lli«' droMiiH! of tbv 
woiiitil lln^'ill|; Ut'ti ai^'"tit|ili*li)i) n* lui* Ui'tt tliw-rilitil, 
itii- ■|>liriti- iinil ilr>'viii).'>>ii]>|iri>|>riB(<' liirn •iiiiilnr rnwtiire, 
if tl M'rn- II ■iiii)il>- 'If i-!iiMil iitii-, art' inAi a|>|>l»'<l- I T IIip 
i>llf)rt«>» fiaH Ui-li alil<- lit miiliT lh>- MixitHl iiMiili<-, iiim] 
lia>> upjiliol ail uiitiM-plic ilriTMii^', llu- ii>utiH>uiiil rnMtuiv 
!■ itfli-ti HKiii •iitivrrlHl itilii n f>iiii|>l<- om, hy tin- iinilu|it 
licniiiii: 'if ill'' U'HiihI, aiid ilir lalimt nuiv •xliihii im 
nton- io>n>tiliilii>iuil (lUliirUiiwi' llinti )ii- uoiiM liuw uilli 
a •iiiiiliir -inijilr -ir rlinMiI t'nu'Uin-. 'Ilw n'-<lnT*iii|i nf n 
mmiNiimil (Rwliin- drfHwil iii ilii* wiiy ih'^i) ihH Ik- nttMU' 
Gtr u wn-k itr Irii iLiy-, iiiikw> llu-n- i# u rwr in titr iDitiftitV 
ti'ni|HTaliin- or tin- ilniwinpi Ui-oiw Hiak'il witli (li>*- 
HiarK"* fniiM the womxl, '>r Uiry Imiihih' mniiiiifurtaKIf In 
Uii- ]i»lii'iil liv n-nmiii nC ■wi-llin); .li' tlir mill |wrl> in (lit- 
rivi"'i "'* il"' Mo'iiiil. WIx-i) ilic H'-ilftwiii^ nf thi' f'rai'- 
liin' iHiimio iHii w arv. llif ilnw>iitp> tin' n-iiioviil, uik) 
tilt- ilniiimgt'-liilMii nwiy U- «-nniv«il if mi limpT hm-iIi-^I ; 
thp wmintl U-inK n^^niM^d wiili an HiiUMr|iiii' ilrifwin);. 
till- »|iliiiiA iin- rmpriliii), nml, iifti-r (In- nmiiKl in linUitl, 
lltr Ml I IM1 1 HI -1 1 1 ilnwiiii^of till' fnu-tiiri' r^lxmld U' llio i«iih* 
Hh llial f'f a •■iiti|ili- f'niHiin-. Tin' lime rii|iiinil for iini'Ui 
ill a •'••iii|B>iiwl fnti-iiin- ii> iiMUilly mm')i ImifjiT limn in a 
■iim'*<|Hit>iliiitt Binijili- rnuiiin-. 

Many intc^'iiiinii ■jilinlf linv<< Imit dovMtl Rirllir t|m«*> 
inic tif »[o-uil ttiiiiiniiind frarUintt, Iml tliiw Vi^•n^ (iriiM-i- 
|mlty uhmI Iwluiv Uii* iiilPMliicliuii of llic MiitM-]>U(T iwUiii ' 



DBEDHIIfO OP COHPOUNI) FRACTUKKfl. .'(83 



of vrr>iincl-tnnU)i4-tit, ami oh tlii' trriilitHnil iif thrive catv^ 
IiAs lifoi) miii'li .■iini|tlin<i) hv it" >m-, tlii>_v |k(mi^« ih> >i]Hvuil 
adviuitau;*^ over tlii- •inlinurv H>[iliiils iiiid dmwingv uiwd in 
Himplr fractiirfti. 

Tftf pttuitr-^/-I'Hri» ilrrM'nuj nmv \w iisw! a.h a ]irinuiry 
ilnMuiii; in (n>ii)]>>iii)il t'riK-iiin-K; tin- •li^plaivinciit hein>; 
mliHvd and tlio tvnru) tx-irii; dit-sM-d wit)i an unli'a')>ii<' 
gaiiw (Iresainfc, a i)bL-li'r-<if'i*iiri.-> ligin<lii}f<> i.-* aiiitliitl lo \\i« 
\avi Ml a£ to tiniifv li \ tin- rrn^tm-ntri ; ill*- joints on citlier 
hkK" of the fraotHrr- slioiild Iw lixitl l>v tin- iKiiMlatc*'. ami 
tliv imrtti sliotild lie hrld in |M>Hiii<>ii nntil tlx- plaxti-r \\»f- 
set hruily. Al^cr tti«- pbiMrr Iihh U-coini- lirni.iilt-nettnini 




>M (iMtir ilnMat fur tompauMd Meisn or the k» (HninMi ) 

aliould Im' tnnih' Dvcr llit- |Mi^iti<<n nf tliv nmiiid. hi tluil it 
am Im- iiifi|Hi-li-d ordn-NMtl llinni^li thin wImii Dnitwitry, 
TIh' vw\» of n ]iint> of sluiit win-, Ik-iii into ■ wiiikin^lf, 
ntiiy Ih- !iKi>riH>Riliil ill llii' liim- of llii- |ilnM<T ImdiIukt 
nliovr anil Ih-Ihu tin- |H>fiii<>i) •>)' tin- fi-hcxtniui, tn piv<* it 
uilililinnnl i^ln'iiulli tiller llx- n-iii»vnl of n gmnion of tlir 
Uiiidup- In tiiiiki- tli(- fi'in-fcrniMi. (Fii;. 'IM.) 

If till' i)ln6l(-rHif-l*Hrif> (In-NHiiif; ia n])|»lii-<l iir> a iiriitmn 
(Inwiiiit in mni|HKitid rnK-lun-H tlH- tiw nItoiiM U' mn>- 
fiillv vriitt-liit) litr u fi-n- dnvH. iiml if ii)ti<-li ■twHItii)' omiM 
at till- si-nl of friK-lim- ilf- niimvnl ami i-<-tti-«iil in imliiiitii) ; 
|inifiiM- iliM-liiir|p' of M-riiiii nuiy nl-4i wuk tlit- dn-nniii)^ 





Mr aim br vnkmd in 
fi ir- tiii M, betag mntoMht thr 

ht-U m ptmlioti hv the tmiut •'( m 



{■ftoolW ■ 
wmad, uk) 

Tbr priur-i|nl wIvaoiBp- in tbr dw •rf' tli-**- -|>liiib' ^ 
Uir rwv with whWi tbrr tsB !■■ min«%'cd ami na|>iilW^I if 
fm|urni dnwttiip nf tV frartuit «n nm^i^ry fiw any 
wwi. Tbrv tnay W iim^I durinK tbr nrnrf "f tmrt- 
D»«l, »r, Nfti>r « ftw «(fk* wlnt) ttw ^wl>lliDfr ba.- iltaln* 
ialiiil at till- "nil 'if frartaiv and i)if Hoiiml i^wpll adnuK^I 
t'rwuni n-jaiir. (Itrr mav he di-onlfd niid a |>laf4<-rH)f- 
l*ani> dnwtii); •iilMJlulrd. In uMuiainuil fratttim nt tlif 
Imiiu-" 'if llu' I'v- afli-r mlm-iug tlir dU^>laiv-»wnl atitl 
n)i|tliiD|; an uiitiKTMir dmMO)c to tbr wiMiml, I iiniially 
M|tf(lv iii"ii|(|n) ttin<l'-r<^lHittrrl »plinl- tu rlthrr Mdc nf tbr 
!>■]{, Mwlii'lirit: ihi- r>-'l. Mix) ]<\iv>- ihi' li'}: in u fnuiiin-lNix 
for mldili'iiui) Hinrity, mid aiirr u fiwHiik- [ iliwnnl 
llii- liindi-rVtoAnl -|»lii>tn ainl u\t\Ay a p\af*iT—f-\'Hn» 

Bran thtMrnnff (or nini|Kiiitwl Oartiim waa foniMTly n 
(■ijiiilar drcMiitm in ilii^ rity, <v|Mfinlly fur (itniixtiiiiil 
friii-tiinv "f iftc ]'Tt iini) lliich. It wa* D|i|tlii-d bt [darinR 



n iiim' (if niitrilin nr nililuT cloth nvi-r llic U>tt(mi end 
tUUti iif a fntrttin-lHix, iind ii|H>ri cImh wa^ filaiitl a bivrr 
of Itrni); rlii- rnu'tiinil liy wiw m-xt jitiKiil in ihi- laix 
ii|Kiii iIh' layer of bnui, tbr lisri witu Ount litarmti] to llw 
AnillHMn) and ttn- nidi-n nT tlir Ik>x wi-n- iini<i)tlii •>]■ noH 
■iiiiiTvl; bnin Man ifxi (urtinil into llio Ixix and flrmly 
|M' 1 ' ' "iiil iiDil •ivcr llh- liinli. Tin* bmii itln-iirlNil tlw 
di- I ' " , ^ lii'li iT«"»j<fd I'rwiii llu' mihiikI, aihl lit tin- wb- 




DRRSSIKQ OF OOHPOUND rRAOTURKS. <16A 

h(n|ii<>iil (In-#iii)^ tJif voilwl brail vnu^ n-iirwix) witlwiit 
ilumirbiii); tlu- linili luiil fntJi braii v/tw |wii'ki-<l iiIm>iii (In- 
limb. 

Satedi*gt nliicb luw iHt-ii •wtiinili'c) witli ii ntbittnn of 
bti-bWtib- of lucrt'iin' iiikI tlriiil iiiiiy Iw iit^^i) in ttif «iiiii- 
tDuiuH-r ID' brun in UK-<In-KK)n;><>r<-<>iii|M>nn<l riiu*tiinv, iiml 
tins furiiiiT, nlitrb Uiik Ihi-ii rciNb-rxtl Hlilisfptio, tuut 
dvcidfil Mil villi I<4p» oviT tlif bniii lirrwint;. 

Qmlinttoug irrufnlion of miiiiMtiiitil l'nM-1iin'» byii wiimi 
iiiitii<c|>ti<- hdIiiuoi) cillivr nl' biHilttriilc nf iiifrt-itry I i-IIXK) 
iir uf nirixilic- imHiI I :KU in roM-n in wliicb vtt miM-li <imiit- 
Mim or buvmlioii of lli<' mO iMirtn •'\ir<iK Ihiil tbi- itptiUiii- • 
lint) of ibi' unbiiurv ilniv>iiip> uoiib) )»' iiiti'iKliil wiib ib«- 
TwV. of friiiiKri'ix', util Ih' liiiiiKl II inii^t mitinGu-torv tii(ib<Ml 
of Irailniciit. Till'- <In'H.-«in|i; i» nii|)lt<'<) by Hiiii|K>rtiii^ iIm- 
injiinsl cxtntiiity u|hii) n Hpliiii fiiiil nti ■ [tillow covcnol 
by » nibU-r rlulli. niiil u mn nr jjir wttli n noxxli- iimtnin- 
iii^ till- etihition if iiliuiil ovrr tbi* imrl nixl iIk' irri^ittion 
IN niwimptiptUiil by iiIIomtii^ tin- Ibttil In run •iiiiliinioiihly 
t)ViT (lie MuiiDtl; ibiK irri^;l1i•>n iiiny Im- kcjit ii|> ronluvK 
nr wt-ckn. mid nlirii tbt' viliility of tbi- |uirtH ii; luwiiml mi 
HntiN-|iti<-dnwiii;; u'illi (bv onliiuiry Hplinbi ur a |>liiHU:r- 
iif-l'iirtH lMtiid(ij;c limy (m- Hjigilicd. 

A nu-tboal of dn-ivtitt)* «om|M>tind (Vnrtimi* which hii>> 
itxi'iilly Imi-'II iiiiriNbiciil, mnHifi" in mult -riiijr lb*- cklfi in 
ibi- n-|:ii>ii of ibi- mhiiik) iiM-plic iuk) n'liioviiitf iiiiv fori'i^ni 
iKHlifp from tile M'lHind, itn-n rt'li<bTiii>; it it- fiir hk ]Hi-vi)l>b' 
■M'|Hii'i iottaform tw tlirn ibiMiil ibit-kiv iiv*-r tbr wound 
m ititmiiln niid. mixing wilb tbi- bliKMl iiikI H-niiii fniin \\w 
ntHiiM), t(> ■lbiH-<i) to f\vx, forming an «nlt'<c|iti(' Niib. tbr 
u'dtiwl U'liij; ('x[Hwiil 111 ibi- iiir, iin<l ibi' fmgtnciiiM nn' 
n-l»iiMil ill |H»itioii by H[diittn or by ii fnt(-liin--U>x. 



I'AKT IV. 



DISLOCATIONS. 



A iii><i>M'ATi«>N ii* (lie (lii^iliHviiti-iil of rliciiiiimliir stir- 
facuT of Iniw* wliicli I'lil'T into (In- rumiiillnii of h juini, 

I>i>'l>Hiiliittl>< HiJlv In- contfJftr, jmrliiit, «i'in/i/i*, nnitpotluit, 
iiiiil enmi>linttrti, iiikI llivy iin- iilwi kiMiwii iin rrrvw/ iind Vf/ 
ilittliMiitioiii^ llif liitltT k-niiM iH-iii); luttl rtnt I'litin'lv willi 
ivrm-iM.v lo llto tcii^li of tiniu ihv diniiliKi-iiu-tit of tile 
nrlK-iiliii' MirfiKf*^ of tlic Imhich Iiuk wiHtiil 

A eumplfif ilielomiUoH ixoih' in w)iii-li no iMirtionsoTtbn 
nrliriiliir (ttirliu'cK of llii> Iniim-k n-iiuim in nMitm-t willi tiH'h 
■iOkt. 

.1 jMrlial th'tji/eiilion i' om- in wliiilt ]M>rtiitnN nl' |Ik< 
arlic-iilNr MirliuvK of (Ik* Ikkivo idill iviiiiiin iii <-aiiUirt wild 
tw'li otlit-r. 

A mtitfiff (/w/'M-m/i'M ii OIK- in wliicli tln-n- <'xii'li> (li«- 

IiliHviiiriil in till- nliition of (Iti- iirli<'i>l>ii' "urliKx-M of thv 
■one- Midi lillli- iiijurv In thr Hiil'i {nrtn luljuivnt to lite 
jotiil, nml iIk- ilin|ilaii<il mil* of l)i'- Ihuh-m iIo iiot niui- 
inuiiiuiU' vritli llir iiir by ii wound in iliv miO ]iiirtH. 

.1 romimund ili»locition U chic in wliioli (lirn- i-xtMli> iIib- 
|iIiKX- 1 Ill-Ill of ihr iiriii-nlur xiirfiuiii of tin.' LitifK wliit'h 
uMtiiniinicvU' willi ihr iiir tlirutiitli ■ uoiuhI in ihr mil 
iwrtx. 

A eomiMtittrtl il'uJnrnliun i<> otM' iii H'ltiHi tti nilililinii In 
tlii^ flifi|itiuiinriii of till- iiniciiliir Mirfiiivw of tin' U>ni-», 
thnv rxtMx II frnrttin*, or n liKvmtion of imiMfrdiiit IiIoimI- 
vnM'lii^ ofn'm.or niiM-ltw in {imxiiiiilv In utv dir-loviition. 



TKBATHIEKT Of DISLOCATIONS. 



887 



I 



/) rft^nl liitUicalion \* i\w in uliiili llii- ilwiilmi-iiu'iit of 
iho art iitt lining :<iirtliivs of itu- Inhhis lias f.iihk'tl for hu<-Ii 
» |H-rio«l tluil tintc liibi itot lni'ii iiffontnl (nr iiifULninuitnnr' 
ohangm to have tiikt-n |>liui' in Iht- arli<-iilar ttiirfiutv ol' ihv 
iHHii'e or ill rlie a<liai>-iiL tii^tMii^s wliicli W4kiil<l et-riowBlj' 
intcrfcri.' witli iltt-ir niliiction. 

An oW liislijetilion is oiw in vrliidi the <Iiji|ilacfiiK'iil of 
till- urtifiilaling surtlm-^ of tlic Imuk-s hai^ cxiMKl for mMw 
time, ami in this vanity of di-ilofTitinii ttn- <li!<[il«(^ Ijoava 
oflcti thnii linn mlltni^inns to llio Mnrnmndin^ liwrim. 

TllKATMKST ttV DlHI^K'ATmSM. 

Till' tirxl iinlh-nlion iu ihv fniitinfiii of iliHl(Hiiltiitu> \f.\» 
n-tnrn the t|is|tlHi^-<l iiriiiiilnr fiiriaiv of ilic lHin<-?' In thi-ir 
nurninl jKiKition an<t lo n-litin (Itciii in lhi> iHwition \*\ Xhv 
MW of Miilulilo <ln>Kinif<'. Tltt- n-Hini of tin- nrlii-iibr mir- 
fitiiv of the UittiT' to tlit-ir iioniial ixwition or thr miurtion 
of ihi' ili'liHxition, i" iu'<t>iii|ili-li<il iiv num!|>iiIi>lioii, i',\lcn> 
■ion.und numtfr-ixti-n-'iini. Tin- i^ilm-tionof <liil"ii«lii'ii>' 
Hhoiild Im' atl4.-fii|>ti.tl Of won im |Hm>ihK- iiHi-r ihvv hav<- 

'\'\v |irii»<-i|iiil olifliichit to tht! n>iln(iion ol ilii>tomtioii--> 
nr>' iiiu-itiliir n-^ii>lHnii- iind tlir iinnliiiniiiil (■itiliaritMw of 
ilic joinlii. Tho (iiriiuT in Im-mi ovt-nHKni' l>y ih<! nw- of iin 
lUiimthHir t;iv«-ti lo tlH> |Miiiil whiTr' ooiugtli'lt- itinwiiliir 
ri'lnxiitioii i^ jiriHliioiil. Thi- nvtMiiixi- ottiritl li_\ th<- 
Wuinptl n-lntioii)! of the nrtinilnr Mirliui-w iukI tltc lif^ii- 
nifnlf« u lo he ovi'mmic liv thi* !>ntvi<<M) nmltiiiK mk-Ii inan- 
iiMtlnltoni, f(HitKl<>(l n|Hin (iih know lii)^- of tlit' Miiiitomy of 
till' (uirts. ni> will iiiiikr ihi- lt^iuiii-ii|n, ninM'U'^, uihI lMtn<w 
oivtiH in (he nfhi4-tion of (lit- dinltMulion. 

hi riH^nl >li>hKiitioiH by iltf iw of rxlMiition and mmi- 
ipiilnlioM, <-H)ai-tii)ly if un iiiui-Mlht'tic la- iiii|>tiiyoil, the 
mhK-tioii ii4 iMimlly it<^^>niitli.>hi'<l ivilhoiil ilir unc of ninch 
liim*, ImiI iu oil) ili.-4liHiiii4>n.-<, wht-rr ttlMilitti' niUM-nlnr 
^liorti'iiint; hiu* liitii-n filiw^', the IM' of •■xtwitlinK hnniU !.-• 
oltitt ni|iiinil, and in Mi'iirin^ lh<-M' IhuhIh to ihc linili 
thi'clovv-hiu-h kitui \» iiiicfiil. {Vi^, 'i)ih.) 



888 DISLOCATIONS. 

Tin- tniitmiiit ofiliiflorBtiriiiii after ntliuiioi) niiittinbi in 
|ilfl'-in[! tin- j'tiiil al <'<>iii|il<-ti' rt-yt liy tin- it)>|i)i4iitioii nf 
niiitiililf Biiliril" niiii liiiixlucii", tuiil in tniitint: nny iiiflnni- 
liiiitorv i-itiiii>li>iili<>n« if llicv ut'im; liv llit- uj)|>liialiitii nf 

Pl0.9tt. 




tJ«ra-liUcb tuulandtal, (Kjuduli.) 



i'vn|HinitIit); Krtintis, iiml in ii vewk ur two uO<-r itif iniiinil 
tipiriiciilK liiiva- Ini-ii n'|Kiin-<l [nk^Ivi- iiiKli'Hi mIioiimI In.- 
n«i>rtr<l Ci) (ur rf«toriii}f tlir riilKiioi) nl'tlit- joitlt. 



SpeolAl DtalooatlooB- 

DtKUK-ATIONl* 0»" TIIK VkMTKUU.*^ 

DixIfHTiitJiiiiH 111' (Im- lumhnr iiikI ifnrmi (irfi-Aiv* , ii» Hiiupti' 
(lialiaiitioii)!, an- t'.xtri'iiirlv niri- itii'iilciitB ; lln*v nn* mtii- 
pinnnllv liiH Htlli, l»il lire iiioi-i' ■■lli'ii ii.vx'Jiilt-il t\i()i f'mi-- 
tiin* 111' iIh' vcrt'-line in tlii-w- n-p""" ; llii'ir mviim-iii''' iit 
tlir (DTfiml vi-rtnlint- in iikid- cdminon. The tnnlnii'iii nl' 
tllMliNiitionn iif ilti- vi-rlt-finr, wlMiher tiimjilidilMl wilh 
Inu-titn- or nm, mitnUto iii iitl<-iii|kliii)f niliniiini liy iiuik- 
iii^ i-xlaiioiitti nml <i>iinli-r-4-xii'nM(>ti with inniii]iiiUil)oii, 
hih) liy lliio iuiiiiii> in inHiiy ium-m the lii\:ili<>ns mn lie 
nvltiml. If, fiiiwi-vtT, lUf HIi>r(.i nl rttliMion iin- niiMM"- 
iviuifill. iH-nnmiPiil I'lltiixinti Nltimli) U- (iii|iliiil l)v nniiitn 
fir ■ n-ci)[iil-t>xt<>iu'iiiii ii|i))ainilnH IWtm Utili U-ff^, nml fW>in 
lito «hwil4«T« mmI IhimI. 1'lir uftiT-ln-ntim-Ml nitixi-t" t» 



DISLOOATIOK OP THE JAW, 



889 



fix-ping tilt- |KitK-t)t lit TJ*l ii|Mjn ltii< Ivick in Ittl ii[>»d u 
(inn tuBtlrt-w. ttiul il" tin- <^Tvinil vi-rtfhnr Itiivv 1mh-ii ih- 
\'^ilv<il ilii* litwl uml iKvk i^tHiiiltl In- »iip]H)it4'<l liy iJturt 
Knnd-lMipt, Hn<] in ttii^- nf iIk' v<-rli'linv Wlitw tlii« |ioint, 
llif ii|t[»lii-titiun III' It iil-'iftrrHif-fimM jiu-kct may In- luwl to 
n'lvv ftiiiiNirl ni)i[ Itxiilioii to tlit- \mrti^. Tlw ^t-iK'nil maii- 
ii^>im-tit lit' tlic (fiM- If rt'tninlx iiiiii|>liiiitii>n>' >^ «initliir 1» 
iIiaI in n»«-> lit' I'nxtnrf nf llii' viTtrlira-, 

IHJoixUionn aj ihr wwju" nn- ni|(i<nil Iw iimniiHiIiiliiii) 
witli tliu (ingtT ill tin' nxtinii wi'l cxlvmnl iiuiMiiMitution it 
cIk* Miunv Uii»o. Till- iiiily Mnfr-tiviitiiMiil niinm'*] tit n-Hl 
ill IniI fiir II Tvw <lavp, iiiitt tin* iMlmiiiinlnilion of i)|Miiiti tn 
kivp ihv tiuw<-li> <)iiirt. 

DisrxK'ATioN or TiiK Jaw. 



ricM. 




or Imlb 



HtaUfKldubeMlnnof Um Jaw. lAnaviwr.) 

tliHiiH-aiHiii iiuiy LXHisint in llic iltK|i)»i%iiH-[it ofoac 
ntiulv'IrH i>f the jiiw rrmn tli*' glt-iioifl futwic, ci>nMi- 



im 



DISLOCATIONS. 



tilling tlM'iinitnlcnil or bilBlvml difllocali'Mt iif tlir j»w i Uw 
lutlpr in th*- ntiirc (itniinoii tiimi nf itisliMnlitm ol' ihv Jaw 
met wiili, anil t\w ilcritrmitv rrsiiliiii); is slifiwn in Pii;. 
'JMi. 

Till- n'<liii-lii'n of It ilioliH^tiiKt of ilu- luwi-r jaw i- nnnnii- 
pltxtitil a>> lolliiuk: T)k- Mirt:iiHi |>la(-i(it; lii<^ lliiiinlx, Mt-ll 
l>r<iUi-((il liy "triiHi <tf IsiixIil)^- nr ii ii«w<-l, iiti rln- inxliir 
l<>vlli iir IH-Iiimi lli<-ni jinwa-N flM- iuikIi'i' of lltr jiiH ilown- 
wanl wliiU* )m> 4-l('Vsl)¥ llti- Hiin with lii» fin^i'PS nml 
by ttitM iiuini[»tiliithin ihr rundylM uf th<' jiiw iiMuilly 




M*UH>lqf (nIaclMiiaikeBllodar (iMkHMr tiw. INiiuunM,) 

Hli|t luii-k itirci |i1ii(x- niltt a hiiii|i. AHi-r niliu-tinti of tho 
■linl'MiKtori lite jiiu mIkiiiIiI Im- hxnl fur n nn*li nr u-u itnra 
bv tW iiiij>lti-utii>n iif II Itiirlon'H ImitiUip- or n fniir-lniltil 
ofinR. (ViK. •2«7.i 



Diahcation of Ihe tlyohl Itont. 

A f<-« i-uh7> ••r<l)»|iii»li<iii>i of ll)i- AyiK/ U'lic liavc itntt 
nii>nlt'tl ; iIh' tnnttiii-iit <-uii><UtA in tttniHiii): isu-k llw 
lliwl iifl liir n- iHuwilili-, to |>liuv llic liiiM-lii' of llu- iirck 
ii|)oti iIh- Hin-l>')i, ili-|ir>i*>inK iIh- limiT jnw him) itnwiii)! 
till' liiMiliil )->i)i' iiilii |MMiiuiii. 



DI9L00ATI0NB OF THE PKLVIS. 



3di 



. 



DlSUMtATIONM OP THK UlKh. 

TIk- rifm iniiv Ih' tliiiUKiitnl at llR>ir vcricliral iirtiitiln- 
lioiijt, or «( itif jiiiiiiiiiii willi tlirir ('■■'IhI <iirtil:i):m. The 
•tn-Himi'iil III' tlxw ili«liimti(iii« ntii-'i>>t> in n'<liiriiii; llw 
<li>>iilni-ciiK-iitH by iniiiii|>iiljiliiiti and |in^».iin- unci iIh-ii iii 
fixing till- i-Iuwt 111 Mitin' iiiimdiiililv nf ihc ril» by stniit- 
\nuf, i1h> nffiinrd xiilf with Hlri|ii!i of mltM-MVi- |ilib>U'r, tnc 
wiiiH- tlrcMiti^ iM'int; iipiilitil iin in nw of fnu-ttitr- cif Uw 
rilw, lln- tlii-wiiiu lw'iti|r ntiiiiM^I for tlirw or fwir wirks. 

l)WI/>rATIOS OP TIIK STKn>U«. 

IKnbM'ution or <lia»tii>iie of litv drrnum niny nct-ur nt tlu.' 
jiin<'tinn of lite niDitiihriiim iind ^lailiolns or iit lh<-jniiiv 
tion iif the t-iisifiirni cHnilaifc ami gtadiolii!'. The pwIhp- 
tion U c-f!l>rt<'<l liy pxti'imioii itf tlio olwwt by brndiiiR iht' 
tlorsnl jipino (iwr n linn i-twIiiiMi ])lnn-(l iimtcr iIr' back 
antl bv im-Hniiri- n|ii)n tin- |>ni}tvtin); boni' ; ulien lfi€ dir^ 
pliiitil In~>ii<- linn Uvn rt^lnitil a ixiiiiprf!^ should bo fOimti 
nv«r llif seat of injnry and Ik'W in |ila<"c by broad ftrijw 
of adhmive iilimtpr or bv u bandap' In keep thf )>artfi at 
rwt. The drewinii ohnii^d Iw n^aincd for ihrw or fimr 
wwkR. 

tn tb(* fi-w pxttni|il(« of di^liMiilioit^ of th<' cubiform 
mrtilup- wliiHi have- Im^cq rr)M>rit.'<l llx' diKjilwcntcnt of 
lite tnrtija^i' biLs in t<i»io <-jtuv t^vi-ii rix- to ]N.*rKi!;(i?nt 
vomititi)!, wliidi was n-IJcvitl by rMliu-lion of tbv disidwu.'- 
cnPDt ; it b*, however, atino«t im|Mw«i)>l<- (it k(>>)> clit- fruic- 
mcnt in (dare after rcdiiction, and the vomiliii); unultinlly 
dii4ji|M'urM a(Wr :i tiiiw in ibi-si' iimw wbcri' it in iiii|Mi»- 
sibl« to keej) the <»nitap' in it« normal |>>Hiti<Hi. 

DWUK'ATIONK ur TIIK PKI.VW. 

Hi-liHviionH or dtiL^mMK of tbr Uiikvi iif lbi> /Wrut ituiy 
iHvnr III llic |>idtir or xu-ro-iliiuT Hvin|d)yMt«. 

Tlx-H' arc p-tirnillv M-nmiw injuries, iih ihi-y an- n|iI to 
!«• nitnidiaiiUtl by l<wioiM of the pclvti- visrom. 



»ULocAno«&. 





by ■ ntapn^ brU n pl*^ br a 
or'iiv Ufad iCri^ of ■rfbawTt pMn-. iV 
luf« ^MM* ia brd. ami iIm povb b 

fm tnm hut to «x wwlu. 



nrSd 



bv 



I 



DHUltU 



|>»>li'stiaMia (if ihv f4arirlr nav <Hc«r ehlHr at ifar 
•bmal 'ir wrvimiat md, «nH ifar Utter uiianr tome writtn 
•in>-nlic- an a ilukiratwio (ifllir 4ia|iall, MmrinK ibe p9- 
ctal rnk tliai (>)/- 'ii-ul tnoe is ifar lOf i" 

Pu/tmttion* oj the den^ rmi o^ fAc rIawiA tmy twrur 
in M (iinran), iMrkward. or upward duvrtiiia, ami th«> di^ 
fl m x mm (• irm-fally well narfct-d. (Fij^. 2m.| TV 





Annua. ilaTtXT.) 






rrtliKtion of iJtiit diiJ<Miili<m i* pBVrt«l bv [tlarlnff tlw 
kn»- Kpilnal lite upriic anil drawiu); ihi- rJinuliliTa iiiilwanl 
aimI tMckwtinl mid urriwitit: lli«' dtti|iliKi-<l riid ttf (bf 
dnvli-l'' ilil>i iilniv. Dm- rtiliirlttm in ifi'ixnitlv iiwr, Init 
it {■ iift'-ii ilillii-tilt li> kc-p till- i-ii() III' lite Im>im- in it> 
imijHT {NHilioii. Tr> wiiitiiiiliitli Utiii, a itiiii|(ruw KlM'ukl 




DI3L00ATI0NR OF THE SCAPULA. 



3»8 



I 




lie (iliuml over llio fni\, nf tin' Ihiim', and th» fhoitld Ik> 
iMHriintl in )>liuf liv ImMHl :<tn|Mof iMlhmivi' pliiHia^r; tlH< 
MliotihK'rM xlxtuld Ih' Itrciiitflit welt (wkwiint iiim] tHvim^l 
liy It (Kinlrriiir fi^iin-Hir-fij^it liim(liif>c of lh<- Hk^i iumI 
till- nmi tif till' iiiiiint) siilc kIi'»i)<I Ik' liiMi-iitil to the sith- 
itl'thv ('Ih'sI liy niiinil iiiriin of n IuukIiik''- I'l miuk! •«»««, 
ill iwMiliiitt til tlic (Drnpn^iA iiv<-r t\\v rtnl oC iIh- Ikiiii', 
flociiritiK till' itnii of tin- injtirt'd ^idi' in tlit' V<-l[K«n ikm!- 
tioti will Ih- foiinil nil thai in n<iv«««ry to rvljiiii tlir Intno 
in iM^ilion. 

IHalixvilion of the (leroniat md of the dai'iflr may Ik* 
njiuaiil, iIomiihuiyI. or Uukwai-d. (Ki^;. 2SH.t Tlii- rv- 
(]ii<-tioii i.x i>l!e<-(ii| liy nuinii>Li]uti»no)'il)<-iinii iukI Mupulii 
and by niv!t4ure ov<-r (he tliMiluned end of iltc i-Uivh-lc; 
i\w ■lUplan'tiK'nl \h usually n-<ni(V4] uitliotit iiiii<-h trotitil**, 
Imt i) I--* otVn a niiittt>r ofdiHiriilty l<i k«i'[i iho i*ntl of llip 
Ihiik- ill itn |)r<i[>i'r |ilaiv. 

Till' (In-MHin); iiiiiiiUtf in jiliiiunf: u itiniiirMa uvrr ihv 
ni'r>imi:il ■■ml iif iIm- i-liividc anil liolilin^ it in [ilni-c liy 
l>nw(l slr!|ip of ailticvivi' iilii»U'r ; l[i<- arm hUihiUI at the 
ittuni* tinin Ik* Sxnl in tlir vVljiran [Hisitioii. TIhm' ilivwi- 
iti)r» iiAt-r DHlnniiin of <ti.«locuticinii of the rlaviHo f>liotiM 
Ih- ki-|it ill pliui' lor iil li-aM Itini' wivkf. Alllioii);li in 
tiiiiii\ itM-^ n iiTtiiin anioiinl of dcfuniiity ix-rwiMx, liic 
(lic4iliilil\ nsiilliii|{ fnini tli*' injury U nol olVti iimrknt. 

DihIjIH'^TIDNK l>r TIIK S(;APPI.A. 

Dislocation of tkf (uromkm prortn of thfi teapula fnutt 
till- onirr md nf the '-luvid*-, whii-lt tiiu' lnt'ii ilcMTiUil 
under <]ir<l<Miilion of llir acrontint I'tul of lli<- rlitvii-li-, ii- 
L'LiDM-d l>y Minic writ'-n* im i> MiijMilur dUliM-ntion. 

IHn/nciilion or pnijf^iim of t/ir infrrhr nnifle of thr 
tmjiulti, ilui- to im n«ii|N' from nmU-r tli<- bitiMUinu-i dorvi 
nitmrlf fir n>lnxHti'»i nf tliij< nniM'li' and of lln- M-mtiiK 
iniipiiiN, if NimrtiniOK dim-nlxil uh ti dl-liHiilJou of tlu- in- 
ferior an^lr of iIii'miijxiIii. Thrri'diK-tioiiof lliifdi-forinily 
ninHixt" III t)i<- I'nitiloyiui-iit of wanimitHtion and |>nf<iHin> 
Ui ovrniinH' ihi- <ii?|ilmiinvnt and llie iim- of a iiinijirnH 



•.m 



DISLOCATIONS. 



Iii*t<l ill pliMv Uy itnnui "Iriiw "f ■illNi-ivp |ilnMU>r Ut MwntlV 
I)h' lami' in ito [)r<i{N'r im-ition. 



DiHUicATinM* or tub Siioi-ldkii. 



TIk- \hwI of ilif htinir-riin niAV' Ik> iliMltNTiiMl ilowtiwani 
turvunl, or Imi-kwanl. 

Suhglmoid or domiteoni dUlM^ilion of iht hfaet af the 
humerun iti llial varii-ty ii)' iliHliMStiini in wliii-h ihc hflul 
lit' the \xtiw ivxlM in tlio iixUln. |Ki^. 21Kt.) 





iHkglaMMdkliiwUMorilMaliiiiiMtr. cmaMt) 



AiAcwoooui or foneard itiJoailion <^ the HmuI ttj Ihr 
hanerm in thai variety of ilinliMiition in nliiHi lli<- hrail 



DISLOCATIONS OF THE SHOULDER. 



396 



■il' tho liiiincnifi nvU tkctM^tth th<- ramuiiirl ihtk^iim of llir 
Bfajtiila. (Fig. 'i!)l.) 

tittbcfaviru/nr ttitilnrtilioK of Ihf hftiit of (hr h>*mmiM iiinv 
Ir- wnfjitlcrf! »ii n^niviUi-cl fiiriii nl' tlic lalUT varw-tv (il" 
(liMliHiilioii ; llti' Uitid <>(' the litinirniM in tllw Vilrit-[y «r 
ilwliKiiliiiii nvx* iMiicalh \\w <'luvii'Jv. 

rw. 91. 




SlIbaHHnlil <1 , 



inawH.) 



Hul>»pinoHS or baekmar^ diMociiion of Ihr hfixit qf thr 
humn-Ha '%* lluil viirirty »r dtxloraliim in wliii-h dir lii-ail 
i>r llir Itittni-nix n-Mti) Uiimlh Uie HiiiiM' or thr Kti|»ilii. 
(Fiu;. -IVt-l.) 

Till' nilii<-(Hiii i>t'<liKliHiiti<>ii>> of till' hiimt-nif ti> rlTn'If-tl 
by iimrii|iiilnl)itn, iiy (')t:trit»iitii iiiid <-()iint<'r-^'XU-t)nioii, ittiil 
l»y a iimiliinnliiiii of iIm-mi' iiii-duNlfi. 

Miiiii|>iiliili<>ii in lilt' niliK-t it'll •■!' ntUnjUvoitf tUtitKation 



396 



DlttLOCATlOKS. 



of tlif hiiniPniN U )inH-lbM-<l l>v flrril tloxiii); the fiirrann 
ii)Mii) the nrii) hi n-Inx tin- lon^licntl ol'lli*' l>i<vjL« mit^'Ic; 
Ihi- flltnw JH iioxt M-in-tl iiml uImJucIm) ad as to liriii); il (o 
l)i4> flkic of tlio [Kitii-tifV tiKxl, thiiit n-laxin^ tlic ifplioid 
uihI ((iipni-!«|>inou!i iiiit-'tplra; lli« Mit^ta or an asatstatit 

iH-xl p\a<^e his liaot) upon 
•'*»■ "* th« heaii of tin- hiiiiii-nis 

ill the axilla, um), iiii llii- 
una U <trawii niitwitnl to 
a right angle wit II Iholiody 
hy the olltc-r liund, lie 
niwhcfl tlic Hoim] »r the 
butu^ tnio tlit' k''**m'<<I 
(nvity. 

Ill iIk- rttliK-liiii) iif guh- 
flftnoiil III)') MtMavicular 
fli«l(Mtitii>ti!i ihf ninni|>itla- 
ttono fliv till- Humo fXt'C'itl 
llinl the arm in tii \w rn- 
liiiitl ixitw'uni lM'fi>rr iM'iti^ 
(tirrittl <tuwiinunl. 

In llicn-'lin-tiiin nfruit^ 
mhioiu (li^liHUtionx ntliT 
tile linii \m» invn iilKliK-Ktl 
it sh<xil<l Im- rotuttil iiiM-nnl 
fliid (lintn imwim' mIh)IiI(1 Ih- niml'- ii|h>ii (h<- hntd ortlic 
ln.ni- iw llii- anil l-" tuMiirtitl. ICtilixtinn luay ntwi Iip 
i-Rii-li^l hy i-xl«'iii.ii>ii aiiil ^.itiUtT-f'Xlinifiiiii an in *'<Mi(irr*«i 
nictlxxl, wlu-n- i-xti-fmiiiH 'm miulc fmin lh«- nini <hiwiiwanl 
awl iiKiiiU-rH'XIi-iixioii ii^ iniuk- hv tli<' li<-)-l in tin- nxilln. 
(KtK. 21W.) 

KiB'ilKit's Mn'iioit of niliK-lioii <if dinhiiiilionH of ihv 

-hoiililrr oiii-ii'ti- in th'xiiig ll Uh>w id it rit:h< MiigWaDd 

pnvr-iii); it I'liM-ly o^iiiHi tin- fiih', the fun'nnii at the map 
liiiw U-iin* tiinirtl on lar iw |K>«(il>Ii' awav fpurii tin- trunk. 
Wliile the t-xl>*nuil mtulion m liriiit; niniiiliiini'il the i'IImiw 

) iiiitl till- anil in n>lnti«l 




^ 



awl»l«iiui» JMtMilMi iif Oir htMl nr tbo 
hanxn* iKviko,) 



ia nrriitl u't>ll forwi 



"I' 



itiwiinl aitil tli»' I'llirtW i» hiwrnil. 



UlSLOOATIOffS or THK SIIOULURR. 




UttliN'lioii iiuiy iiltHi Ik- »n'cMii|iliiOti'<) liyt-xlfii-ion iiuxlc 
ii)iHiint, hh iti M'flln*'- iiictlnol, tlii- Mti|iiilii U-iiic fixul 
by tlif frtir itr luiml \Amnt\ nvtT tin- ■i-nmiioii jiruuuw. 



398 



niSLOC'ATioirs. 



.\i\ir ndLMiiiii nf ilUIni'aliiin.i nl" (ho IiwhI nf thr 
liDiiit-i'Un ibt' ami 4ii>iil() W IhhiikI to tli<- Ntlc nt* t\w IknIv 
liy (lie tiirnrt nf a spinil l>Hii>l]if;i> of lh<> <-)irst, nr .liioiilil 
1h- )it-)(l ii^iitiHt Uie niilc liv the »|ii>liinlii>li >it' ii \'('l)Hiiti 
Iiiiti4)a):<' ( !''i(r. ■"»] , \K (iO) ; iliis iln-^^m^ nhmild Iw r<>iititv<tl 
id iiittTvals of a few 'Ia_V!i, aiwl aOcr 1<-ii ilav.u or livo H'<v<ki> 
all ilrestiiiigti sJuiiiltl l>c diti|H'ii«H] nitli, |NU«tiiv<- luotiou 
sdiiitild W. riii|ilovcc1 and iJie (lalipiit aJInwtsl lo iiMivr Ui« 
arm. 

DlNlilKTATIONH Of TMK Kt.IMm, 



JXtioeadoH of Ike Itonn i^ thr Forrarm. 

DtslncatiiitM of \\w Ikhum nf the rormrni itr tlir t'llww 
nuv cilhor l)0 hiirkwanl, loruurd, nr liiU'nil. Tho Uu'kwanl 
d ■"limit ion i> till' iiitui I'uiiiiuoii form. (Kif;, 2!t'i.} 




tlUIUMUlllI • 



«[ taohicaifakanloiBrt. tLatmi i 



Th«' fiilin'tioii III' tiiiettcnnl ilitinfnlionn if t'lri-cliil liy 
tnakiii): lm>iinii ii|><)ii Ihi- foniinii and al ihi- ■aim- tiiiu- 
mxkiiiK i>n-sMiin' ii|»>r) the Iowit L-iid of tlii' Iiiiiimtiih n« tlu* 
fonuriit la lli'xfl ii[H>ii llu- arm. 

Or lh<- nitiKtioii rnav Im< niv')im|di*h<><) liy lu-iidiii); (Im* 
anil ^Inwlv ami fon-iliK ovrr tlio kiHT |ilni*il iiiKin iIm* 
iiiwrNiirfiKi-nt'lIiiTllxiWfX'iw toprt-w ii|ii'ij ilii- nnlitiN uud 
iiliiu, pi'iNO-iilini; llti-ra from r)ic IiiiiuiTit" ni)d tmiri^ iIh- 
mroiioiu imo-iw- rmiii i<> almormnl iHiiitinii. | \-\^. 'IKHi.) 

Ijitaitl iHiJowtuniM nf llu- lH>nnt nf the fimnrtn nt tbr 



OIBLOOATIONS OT TBt thBOW. 



.tdS 



vIIhiw nrc rc<lii(iHl liy iiinkiii|i; cxlpnsiaii from tlip forrariii, 
iiriit III (l)i' Hiiinc tiiiK- iiiiikititr ilirei-t prpsoiin- od th<- Ht^ 

iiliuiil Uiiii* iiiwl ii>iiiiti-r-)>nt!Miin' mi IIm' li>Hvreu<I of Ibf^ 
llllltlTlld. 



FM. M<. 




IMaoU«n«(UillwkiiMlaUwlaBdoIUie«tbaw. (HxKn.ie«i.) 

Fm-tcard ttUlofiilintu ot ttli* Itont-s of th** formroi nC tho 
I'llxnv an- riiliw«>»l liy uiukin]; fimw! flnxion al the elUiH-, 
top-tlKT vritit ixii'iirtion ur (iiimlpr-f-xlciisioii, or by nialc- 
\u^ lont^l i-xtt'tiTitDn i>r lite fonitnii at llii' i>IIm<h'. ])n«iin^ 
llio liiiiniTiii^ iNU-kwiinl aitil Bti<!ik'iily Hi-xiit;; tin- I'oTv- 
II nil. 

The (lr»«io(i, i»rt<T iIm* rcdiKiioii nf itisliKTiiioiu al llio 
i'IImiw, dHMHth in llti- iij>|)liniii'>n <it*ti wvtl-iMiildMl iinti-rHir 
rintil- 'tr sliifhtly ol>liiH-aii|;lMl ei>1int, tn Isppj) the l"iin«nn 
ill II f\f\f\ |NMilitin — iJh- iln^^in^ Ihiiij; |ini<'(i*-»lly tin- 



400 



DISLOCATIONS. 



Banw- 06 tlial for fra'Ttiirm itf tla- Iowpt rati of (be litimeru&, 
with an aiitorii.r »ii):iiW splint (Fig. '^i(7). Tliis drcMsii]); 
sJimilil Ir' ivtuiiKil till- t«i» iir tlin* wwks, being renutvnl 



K» w. 




Dnmtug *nat ntlvritan ol OMoaxlou at OtftMm. 

at Intervalb i>f wveral ilavs ; alVr ibo n-moval ul" tli.- Hjilint, 
[fllBsivie mutioo Hlioiild Ik- (tracriM^I, ti> iircvml mDIiii-nh of 
tin- elbow-joint. 



DlKI^K'ATKlN or TIIK HkAD OF TIIK RAHtrA. 

The hfoil oj the ruditu initv Ik' <lii>|iluiitl forwnnl, otit- 
wiinl, or luu-kwHhl, tin- forwnnt ilii-liMtition lii-iiif; llii- mkm) 
fn-i|ni-ii1. (I''»il. ■i!H*,) TIh' rttloi-tiuii <if llw-w (IUIimti- 
tioiiii IB cfli-cu-il by iiuikiiif; rxlciiiion fMm lltr fimnriii 
■nil <'(innli-rH'\liiiHiiiii fKini the lnwi-r eml of llif liiimrniH, 
Mill Hi lli>' Hiiiii- titiii' ibe Iii^k) of ibi- (■■iic 'i^ [in>M<(l into 
itii |>ro|M'r |Hmitii>ii. Tbc iln^viti^ iiIUt nilixiioii of ibo 
(ItHjiluivincnl ii>iu'i"t" in ihf Hii|)lti^tiiinorn iiiniiin-Movi'r 
tlir> Ikw) of till' Ihiih-, nml t»c nnii nml forcnrm »bou|(] 
\te (ibuit) ii|M>n II wi-il-iKMltldl imtt-rior nit^pitnr siiliuL, 
wliirb i)> M-t-iinil I'V ii mlli-r bnmtiip-. Tbo >lnw<iiifi U 
■iintliir to tiiiit •'iniiiovdl in fmiiun-n of ibi- towrr cuo of 
tbi- liiiiticniK, ill vilitcli ail anterior iin^nliir t<|>lint b ntu- 
libiviil (Kin. '2'i;t, jiiij^i- ;t4M). Diltii-iiltv in ■■tiixliiiii^ vx- 
|H!nritm] in ki<<'|>ini£ tin' biiul of ibi- l>oni< in (lopitioti nftfr 
rudiutioo, M> tliU llir use of lln- omijintiA in uiUtitiuo In 



DISLOCATION DP OPPKK KKD OF CLNA. 401 

nn.an. 




DtabmUiin uf bma at lh« wlliw liirowil. (UnoHj 

rill- iiM- uf tliP K])tiu( is (ilUai rvfiuirud. Tin- urni iOichiIiI 
Ih- Ivi'jii iiimii thi> H|iliul for tliruL' wvcks, being n.-«lnMKd 

ut tiitcrviiiK. 



l)HU)eAT10K OK THE Upl>KII Rs\y OV TlIK tTl.NA. 

Thi- Ufi/irr mil nf Ihr n/nit lii.tv Iw ilU{)llln<l UtrkHnnt, 
rlif iilivniiKiii |in>ji-<-tiiit: Ix-liiiKl till' (iimlvlo <■■' tli«' 
liiinuTun, u'liilt' till' ImiiiI dp lli4- nuliiin i>cm|iitif itx iKiminl 
iH»iilii>ll. 'I1ir nilitiiinri uf thin iliHiiliMvtiicnt in i-flitiiHl 
III llii> Minii> luHiiiior lui lli»l of Uilli iHini-H of tlu- lun-unti 



402 



DI3LOCATION8. 



iMckwun), ami the (In«isiii); ativr n.<<lti<-ti<>n is xiiiiilar l(> 
(liiit i-iiipliiywl wliii) Ixriti 1hiih« hnvu Ihvii dUpliuwI. 



I)mUH:ATI<».N« AT THK Wlliwr. 

7"^* tovrr md of tkr iJ»« nmy In- WUIiktiImI I'nmi tlic 
niiliiu ti>rw:inl, Uti-kHiinl, or inwnnl. TIh- rclitilimt uf 
tlii«c ■ImjiIiiiviiii'iiU' >>• i-llttiol l>y tixhi); iIm- nuliiu> iim] 
|tii.-Jtiiit; iIk- iiliiM Uii-L iiilo \Amw. TItc dn^win^ iiUcr n<> 
iliictioi) coiHMtii ill )iliti'int: iIm' wriil-jiiitil m n'si t>v the 
ii)i|>li(»ti<>ii of U'<'I)-)iii<l<liil iiiiti'rior ttinl |HiA<criiir Mnii^lit 
!«]>liiilK. Till' :^|iliiit.-> >lioii!iI Im' n-tiiiiitil f»r ilini- or luiir 
wiH'k^, (In-NUiigK U-iii); iiiiuli' 111 ii)ti-rv»l!< of two or llini> 
fliiyi*. 

Oitioeniiona of t/tt earptu iifK>ii (Ik- l>otK-g> of llic fi>ritirin 
miij- 1» forwarJ {V'tg. 290), nr l«.'kwanl (Kij;. :»()). TIh- 



n&Mi 



n«.m 




BMalllW or Ui* airiHU kni*nJ 
IUuiL*qw.l 




UMuMOai or UwMwoa badli 
(nA>ii.ti)i*.) 



ri'tliKrtloii ill i-IlliiT vtirii-ly of i|iH|i1iui'in<'ii1 in i-l1'<-<-tiil hi* 
■•ntfiivioti rniiii llir linitil mil] l>y tiri'HHiin-. Alii-r riiliM^ 
tion nf till' ilUpbuvntiiit, wIih'Ii iltnw not d-tMl to nniir, 
fhi' tuinil anil r>in«riii '^Itoiilil !■' |iIhi^iI ii|Hiit n wviU 
|nulil(Hl ."imi^tlir ■■>|iliiil ni'iiliiil to llic |Kilumr fiirrutvurtii* 



I linn<l iind fonttrtn. 

I iliiVH or Ivro wivk^. 



DISLOCATIONS OF THB rlKOBRa. 



403 



Tin* »(»liiii ^IhiiiM Im- n-lHUK-d fur i«i 



I>liflJH-ATUlS« OK Tilt; BliX»t OK TlIK CaWITH. 



I 



rill' tlutt)bti-iii<'iit of till* iiidivHliiiil l>»iitM iif t)H' tnr^iiitt 
miisiiiiiiilly liiki-> plitiT, till" (M maffntm, llii' »rmilu)uir^ uw\ 
jiiniftiiiit Ix-iiii; till' lH)tii-n tii'iHl iJHitiillv <li<|ilNii<(l. iiIth<)tiKli 
(irlicr 1x111114 of IIh' itlr|>ll» ftn- Mtnu-titiM-M tllnliHlltitl K<^- 
iliuliiiti U i-flii-tiil l>v iiKtin.i iif rxtniuiin mul [irtwuin^ 
mill lih- |Hirl .-'liiiiilil iilVrwniil U- ()ni«<-<l nilli ii |Hitiiiiir 
splint nii'l 4iitu|in'!44'H. 

DMIjOC^ATIOirs OP TIIK M»7rA<'ARI-AI, BoNi». 

Th<- irK-(iitnr)Ml Ixtnm tuny )m> (lixlotntnl ii|Min the 
I'lirjiiH : tlx' liotK'H riiii'>t iiiiiitiiditlv (lii^itlncxtl iiiv iIkm* of 
till- ihimili.niHl of l)i<> umIi-x uihI iiii<l<)l4' Hiij^-rM; ilic liitliT 
nn- iiHimlly iltHitlfwi-d iMU'ltniml, whik the im-fiu-nrfnl Ixmc 
iif llic ititiml) limy \pt i-illicr Imfkivunl or forwiinl. 

KiiiiK'lion in I'ftiiiiil l)v I'xtiiiHion hihI )in>wiirt*. Thv 
tln-wiii^ afii-r niltu'tion iiinMMn in 1)h' ii|i{ilimli'iri of ii 
ixtlniiir >'|>litil to tin- littinl ninl fi)r(itrni uwl a oiiiiiin-sit 
oviT tin- Oixiiliicol Ixiiii-, 'I1h' (InwyiiigM tJtniiiil In* n-tjiitHtl 
fur two Wt'OKn. 



hitiUN-ATlOXS OP TIIK KlNOKltS. 

nu.Rii. 




|iMkaanl>lMuawleao(p<MlMii. Radaniini »r MWBiAmi. tltiHiLMW.) 



404 



l)ISI.0CATlOK8. 



l)i»li>ailivi\» of flu- phalaniim of Ihr hind iiNiiilly uxUv 
jiliMf lit tin- tiit'tiuii|-|)(>-|ihHliin};iii) jiiiK-tion. Imt ^itiH-li(iH« 
itocriir 111 till- inliit-)>lmlnii({<-[il juiiitn. Tin- niltn-liini is 
tuimlly (naily pflt-ctcil l»y cxlvneion (Fif;. .301), or hv i«i»Ii- 
ing X\w )il)iilnux Ixn-k until i( Amwh ]H'r|M'i)(lii-tiInr1r ii|Min 
till' uirlii<'tir[uil Imiiic, mIiih hy iilninj; imtwiin- ii|miii jto 
luM'. rniiii lH-iiiiii| lonwirc), it is niidiiy cnn-ii-^l liy Ik'xiuu 
iiihi ite luiliinil jui^iiiitii. 

Wlii-n' (Uitii-iilty m (•x|iiri>iiii.Hl in iniikiiii; fx(«'ii"iini 
ill \\\v. n->lii<-ti<>n 111' tlii^v (linlot'iitiuiiK, Lin- iiiptiioiiit ii|i|ici- 
mtit» of tlio Intc Dr. U-vitt (Fi^. :t02), or \\w " Iinlinii 
|m/.xK'" ii|i|itipi1ii- (Kip. 303). nmy Ih> cmplovMl "iiJi 

ha. m. 




I^rla'i a|ipan(iK (et dUlMiUon of Ih* itelaogv I 

rw.m. 




BxUnrion lit Ipaun puni*. (Bniifr.) 

In d'uionUioi*M of the proximitl phfUanx of Oit lhu»i\t) 
iMdhriiril iV'm. •ttM), Kn-al ililliciiUy in nilmiiiiii U ulWn 
I'KIH-riciicctl rr>>tii iIh' Imim) uriWincUinriMil Ihiik' ^limiiii)! 
liftM-ii'ii till' two IiiwIm (if iIk- )>tiiiri lli-xiir tiiiiM-li-, ur 
lu-rM-iin IIk- liilcnil li^nii-Dtn. Tlic inrcrgi'niliiiii of llir 
i-xttTiinl Mviiinoii) Uiiii- is ci>i»>i()i-r>il iiv miiiii- Htir|fn>ns 
111 )■■ ihf (Wiw! Ill' ilini<-iiUy in iIm- mliMiinii nf tliii< <li»- 
|>Uiii'iiit'iiL 

111 flii* iliMltKHtiiiii mliK'tioii (■ cfli'o-trt) Ity Hrriily pnVM- 
ill): lilt' ttii'tiiitir)Ml Utiiforilii- ihtimli itmnKly l»wnnl the 
)alni ff ilif liaml lu n-liix llic two |)iirti»iii« <if ilic slinrt 




DISLOCATIONS OP THK Hit'. 



406 



flexor miisrte. Th« thiiDib is next exlciidi-d upon the 
vfTist until its tip )M>iDtii lu tlio cllmw. An iuifiiittiint nuw 
placFH Ills lingrr In-IiiimI the pmxJmal pitalaitx to pr«\'cnt 
it»i Klippiiii; iHurtkHiinl an<) l>v brin^iii); tlio thumb <luwn 
to the HcxihI jMi-iition the bnni? tdijis intu plnct. It mnii-- 
tiniPK h»p|>rai> tliiit ull cfTortit ut rt'cliK'lion fiiil, uml in hiu-Ii 
vai-es it niiiy lie no'n'Miry tu tliviile uik* lieiu) ul' the «liurt 
flexor tunwie Rulx-iitaneotutlv or throneb an open wound, 
befon? tile (lifplaeenient can W relieved. 

^P•a KM. 
Thv dn-Miiiig of OislocMlionB nf the phaUngoi nAcr re> 
iliK-tion <iiii«istti in the upplinilion i>f splints of wimmI, ur 
niiiiililHl -tpliniM ol' biiMiirVlHiiinl ur giitta-)>on-ha lo Kx 
ttM> ioini, whieb i%IkiiiM Im< retained for ten da)-8urlwo 

Dwt/X'ATtflSH Of THK HiP. 




«r |«iMluiiillituluiior tliiBBbbackirknl. (TAmiMi;*.) 




The h(wl ut' the rmiiir ix avmt rnifwiillv dislmiitnl 
luu-knnnl, ilownM^nl or iipMiinl, iillbon);h il iti»v iiwinitH> 
iillier iKv'ilionH iti rxtvjitional m.'Hii. 

Posterior or bwtvard tHMiamtiotu of the htail nf Ihr 
frmnr are either iMwkMiinl awl iipuanl, unA nn- d'-^rilird 
BH ifinr or ilomaff llif Inini- noting ii)h'Ii (he iliirniiiii *if ihi! 
ilium (Fig. -'ttUJ). Or llie tliMixuiiuii in»y lie Uu'kHiird, 

Itt' 



106 



mSLOCATIONS. 



(til' IhwI of ihc Im>iiv n-#liiii; i||kiu (Ih- im'liuitlr iHitcli ; 
liwmr itrv kiiuwii oh iwAialic iliKltKwlintui or iliHliKnlioiia i>( 
ttu- firniiir tloi-Mit Mow the tmdon {t\( \hv olitiiniliir iii- 
U'rniin), mx>onliii<' ti< Bifp-low (Fig. ;JINJ). 



VN-Wl 




Ik»rkuNnl4wl urwartilWfoauliMiartNHir. (Cuuna.) 



TUc ntliKtirm tirtlti- |i»«lrriiir (liMlixiituHii' of titr ri-ninr 
mil ^■iii-nillv Im^ ctli-Httl by iuiiii)|>iil!ilii>ii. Tin' |alii-nt 
lM'iri},':iiin')<llK-ti/itl iiikI iiliuit) ii|H>ti liir> Imrk, lite Kiir>pi<n 
l^niMii* iIk- \i\i iti tlx- :iiikl<- mid kmr, lli-\c- ll)>- lif; ii[>itii 
llti- tliiKi). illxl llic lliigli ilJKil) till' IH-lvin : licllifll Ill«illi1rt 
tilt- liitili uikI mimon it iiiilwfinl, iiriiifiiii); Jl in k linwl 
Kwi-rfi lu-nxH till- nlNUmii-n, nii>l liy itriii^ni; il ilnun ti> ih 
iinliinil |M»iti<>ii tin- lutul nf ill'- Ihiim' will Hli|i into Uu> 
itii-laliiiliiiii. (I'*i^. -'toT.) 

IhiirnmirtI /W'xii/i'ni of tht Ilftfl i>f Ihr f'rnttir, or 
Vutcnvai-ii antt /Wmin^ Ifutoeation. — In lliis vurii-l}' uf 




liiakOOATlOKS OP TIIK lllf. 



407 



ili»-I<H-jiii>ii titi- IkimI vi t\w iMim- rcfU U|hih (Ik- tliyr>>i<l 
r>iRiiiH-n ; llii« lonii of ili'iiluonK'nt is st'iueiinuti HjNikvii 
<»f OH II Hiyroiil <)ii>l(Knition, ( Fig. SOU.) 



nn. ». 



rM. »T. 





llMkHinl ■IfctoBMlun ot IMaur. 
(DMim.) 



ttodMCUOB ot bMkMffd 4talMHIaii 
•f IMwr. fliHmuwj 



TIh- mliuiioti nt*<liiwiiKuixl iiikI torHiinl i)i»l(H»(ii>i)ri ttf 
111*' ht'wl •>r tli<* fi'nitir 14 Hr<i'fi<l l>v llcviii;: titr t<v nitil 
ll)i^)i Niiil liriiii:iiii: tin- limli iiit>> ;t jHifiilioii nf iilHlnt-(!»it ; 
il in iIk-ii »ililiii-t<i) nml rofiiltti iimtiril in ii Ki'insiI Kwn'|t 
lU-niHM till' III H lorn I'll hikI bnui^tit ilimii In Un itittiirnl |iii!«i- 

tioll, Itiul lIlC \h-m\ III* IIk- ImtH' :ili|iS illtn lllr Ill-r1lll>ll|ll|tl, 

(Kig. tm.) 



408 



MttLOCATIUNH. 



Ill iiuikiii); llinx' unuiiixilHtiiiii" ilir limd of IIh< (hiov 
wtmcriinin xliiw Ixti-k ii)>on ilii> (li)R<iini iif ilii* ilium, rou- 
vt-niii;; lh<' duwtiuuixl (liHl<H'iiti<>i) into ii |Mi«toriiir <»><• ; JT 



rm m 



no. I 



^ii>^* ' 




DovMuil Mid bnranl dMooMtoa 
tM tnam. tCMrwk) 



WM4 dWOCMllM «l Uw 
|IlMU»«.) 



tliin tu'i'iilriil iHviir' itic c)ih|ilniviiit<iil should Ih- r>-i)ii^)ir 
liv iiuikiri): lli<- iiuuiii>iilutii-ii n|)|»n>|iriuti- for tli<- n'<liu-Utm 
(if l))i' lutli-r tliAliaiihiHi. 

t'/n«uv/ liidiientum, or tlif DbJocaHim Fanntrtt itmf 
Ifptttifil.of Ihr Uniii t^ thr AViNur.— Ill thin vnrifly uf 
<1i^l<Miiti>tn iIk' IkimI 111 the Ihuh- n-t" ii|H>i) ili>- mihiti; 
iliio r>>rni III' >liF<iiIoii'infiil ih hIhi f>|i>>ki-u of ii*)) ynhw HiM- 
liM-iition. I Kill. :illl.) 

Tbv n<«]iiLliun uf rurwnnl ntitl uiin-nnl ilUtiHUliitna uf 



DISLOCATIONS Of TUI Ulf. 



40S 



tlic IhimI i>f tW fvntiir is rfiwiMl liy tnucli tiw winir nm- 

iiipiilntiiin lis i« riiipliivtil in ihc rx'duiliiiii or ilnwri- 

wtin) ttml l)>ruui-(l ■li.-<I>H'jitii>ti», 

I'Xivjtl tliiil ill rill- ]iiibH' ■lii'liMii- Kn. (10. 

tiiiti tlio tlcxi'<l liiiili mIioijIiI Im> 

cnrrtc^l lu-ntss tlic sotiiid tliij^li at 

n liifrli'^i' |K)iut. TIh^ ihi^li U-iiig 

ltf\<<<l llu* Ix-iiil of ilii- Ifom- in 

4Ira^*'tl iliiwn fn<ni tli<' jtiibbt; il ix 

thru !4-ini-«lNlii<ii'<l nml mtnli-tl 

iiiwunt (i> (liM-Dpi^i- iIh- Ihuh* 

oiiiiiilcli'lv. Wliiti- iMtiitin^ iii- 

Hniil Hill) ilrtiwiiig oil the ltii)r)l 

(III' kiKi'^lioiiKl l^t-arrirt] inuan) 

iiikI ilounMiinl li> its [ilniv l>y tliii 

■•iilcof it.i li-lliiw,]inil (111' liitiil of 

till' )hiiii' will iiniiiilly ^li|i into tin- 

luxtiiliiiliim. 

A» iK-fiiri' wIhImI viiriiiii" anoimi- 
foiM tluiptntfmrnU of Ittt hnul of 
Ihf/rmnr iHniiwintinllv iKV'Ur; lJn* 
Ixiiil iif iIk'Imxu' tiiiiv |ni>n itin'<'tly 
iijiwiinl, iiniow'iitvnril l»-tHivii tlir 
tu-iaiir >i(it4-)i nml tliyn>iil fi>nuii<-ii, 
(inlowiiw-iinl iiml leii-kwani i>ntin' 
l»»ily i)r till- iMchiiim, ur ilowiiwiml 
iitil iKkckwiknl into iIh' li-rwr M-i- 
lir noti-li, ur ilnwiiunnl, Inmint, 
'iiihI fiirM-iint iti(<> llic ih' rim inn, 
TIm'M' niioiiuiliiii^ ili^lilnccim-iitit 
tuiiially iMn-iir wln-rc ilii-n- iu\.t tHi-n i-xtcii^ivc Imi-mtion 
nt' (lie iT)|Mtiliir iin<l Y-lipiim-nW. 

'I'Im- ■lii-^-<ii)|: tif nuHv, Mflt'r ntliK'tioii nf ilitiltii-jiliiiitH ol' 
tlic Ik'suI III' (III' r<'iiiiir, iiiiiiifilH ill kii'piii^ tin- (Mtdctit iit 
n-st ill Nil it)Hih lii> Ixu'k. iim) (In- Itiiili Klmitlfi Ih- ki>|)t iit 
h-sl liy !4ii)il-lici^ niiiiliitt (•> ritht-r Mkli- uf lltr linili, in- 
■ 111- kiiii- kIkiiiIiI )■' till) fniHltiT. 

TIm- |citirnt "lioiili) In> kv|it Bl n-"! (iir twn or iIiot 
wrckH, iukI hi ilif finl iif tlii- (iniK timy lif nlliimi) Ut gi'i 
iiiit of Ih^I mi(t ffi iilxiiii oil cnitclH?!!. 




Parwunl kiul atnirt ilMnn ' 
Uon at ttM kaiir. tCoDrtM.) 




410 



DIBLOCATIOXI. 



r>o,m. 



l>INMir-AT10»* "r THE PATWJJI. 

Thf imlrltn itiav \»- di-Uavtnt autifinl. iniennl, .ir «/>- 
tttinl, iiT it iiuiv In- pilaliil iijum ilr i><« ii a\i><. TIh- 'Mtf- 

wtraiitHlocaliiid i* ih<-<liF[>U<v- 
nrflt miiM tiMiallv turn. (Fue. 
311.) 

ITim-Knl tltnliHTitiiiti (if tin- 

ImUcIm fMii oiil> n^iill fnnii 
nii-nitioii <if llti- I i|fltiiM^)tillii 
IKilrllic, iim) ilti- tnttUufOt in 
niii-li noMK i* liiiiiliir til tltai ftir 
(rwt»n- of iIh- {iciii-llii. 

Till- r>ilimi<>ii of'ili'IiHiUltiiiH 

of (lie |illtr)lll (■ I'fl'liirlf llV t'X- 

ictHliii^ iIh- Uy iiiHiii ilif (lii^li, 
Hiiil lli-xiii|; llii' ilii^li ti|H>tt llif 

IM-lvifi til n'lux iIk- imuilntviH 
i-iiiorixiniiiw-lf, wlirn tlM-|iut4-na 
iTti) iiMiiilK- Im- rortivl luu-li iiitii 
|>lii<T-; in M>nti> (iifica nlh-nmlp 
ili'xioii mill •'\i<-ti>i<>ii nfilif 111- 
u ill titii>iii|>li>)i titi- *Min' nwtili. 
Tilt' iln-win^ iiHtT n-ilmiioti 
111' tlir ili>>|iluiT'mriit (itiiH»lA id 
the n I >| 1 1 Mil I ion of a iHwCcrinr 
•>ti-»i)flil -iiliiit or II iiioiilil<'<1 
liimK-rVlHuinl nr full fjilitit to 
[|it<i-l> till- joint nt Tttit; tl»> )>)ili»t mIkhiM lie uiini r4tr n 
Vei'x ur t<-ii itiivt. 




<>Mi>«i4 ilMlDtBtlan vl Um 



IhxIvllCATIriXH Ol' Tlir. KSKK. 

TItr lit-uil iif tlio iIImh iii»v U' iliii|>M'tiri*l/'w'N^ir>/, bae 
wanl, or hln-^illif ; ihr litllrr (K->I<<nili<iri!i iin' iiltt-nv 
iiin<i)i|>li«-. r>>rwHnl ili-l>«T)lii>ri iN-inj; lli<- vnri<4v nj' din 
idwi'iiti'iil itioit i»>iiniii>nlv nii'l uilli. | KIk. ilt'2.) 

Tlio noliK-lidii (if (liwI-H^ilioiiNiif tlto kiin- ix virtvlcd 111 



IIISLOCATIOK or BBHIkDHAR UARTILAOE8. 411 



«xu-nf-i<>n iititl itxuitcrH'XIiiifiiiii wilh fvry-^il tlt-xioii of tlin 
kmi' with iirwwiin'. ni(l("cl liv nia-kiii); m<ivi-iiH-iil(<^ Tlif 
tn^itmt'iil (if (tuww iif clialcHviliuii of tin- kmi^- ullrr i\'<liu'- 
lioii foiiKUtf ill fixing tin- kiiii--}f>iiit )iy tin' ii[>|>li(iiti<>n of 
H Htnii^Iit |M«tcniir '^|iltiil or » iiitHiMiil K)>)itil »\' UitnU-r'm 




Furwir-l 



I 



IhwdI. An ilirn' it iiniiiilU' imirkitl i««rl1iii)( (iilti»u'in)c 
th<w inJurMfi from vioUitiv to the joiiil-f>triii-tiin«, iIm> 
ii|)|ili(iitu>ii of fVii|)omlni|; l(ition.i lor » iVw iliiys will U' 
loitml ii-H-fiil. \f. it»n iL< iIk' xwi'lliit^ Iuli siilMiditl llx- 
jotitl ffJioiilil tx- |>tii no in II |itHi>l'-M>f-l'iim <ln'^in)E, nnd 
tlii» i^MxiM Ih* Riiiimtl t(>r four wifkn. 



Dlftl^N'.VTICiN <»r TIIK SkJIIUWAI* CAHTIU\liftB. 

TIh- ()ix|)lMn-nu-iit Wn* <«iiiMi?>ti> in tin- "liiijiiitg torHiinl 
or Imoktvanl iiikI u')■ll^ill|; ut' tli<! M-niiliiiiiir iiirlilii|!m Im*- 
Iwix-ti iIm' ((■tiioral iiiiiiK'li'T' 1111(1 till' tiliiti. 

Ki^liiHioti ol* lilt' (lii>|iliiii'cl (tirlilnp-A iiiii imiiiillv Ik- 
■-llivtt-)! I>V liy)»'r-lli'Xii>i) of tin' kiun- f^illowiil liv niulili-ti 
liill i-xl>'ii>>ion, »r liv nltrniiiii-lv tli'xiiijr kihI I'Xti'iKlini: iIk- 
joint. Kxi'iHon uf tlic iliofiliut-tl ttirtilii^^ tf> MiiiiiliiiHi* 
i-iojiitrml in iiuwm in wliicli tli>.'y i-niuiot lir n<liux-«l 1>y 
iiiiini|Mitntt*m. 

'I'lic iln>;>in^ of iIm-m* inmit an<-r n<<lii<-li(in f»t (lir> (Iim- 
jiliuiil (ui'liliip'H i-oiuiHt" ill till' ii|i|ili4viti(>n of » [Hwti'rior 
ntrai^lil "plint or a |ilii-l<-r-*>f- I'lirin iln-w-iii;: In fix llic 
kiHx>-joint ; (\iv Hplint should W nuru tor llinx or lour 



412 



DISLOCATIONS. 



wn-k)t, nml if tlii*n- w a (tiidviicv to ix^iliaitlnu-ttivnt ihi! 
|>iiti<'iit hIioiiIiI u'l-iir a ktiiH>^?i|i of tmtlx-r or iiiiifliii lo 
[Ktrlially tix lliv joitil, niltt '■•>iit|irvN>4« en arniiipil n» lu 
mukc pmseiirc ii|x>ii the vd)^- nf tlit- joiot, 

Dwum:ation of thk Fibi'la. 

DHJiNMliiitLt of till' filiiilii nmv iHt-ur nl ciUtrr of iu t'x> 
tn-iiiilii->, nixl llir flint-tinn of tlx- ^InjiliutiiKtil innv !■• 
j'orinint, iMtrltntrti, iir u^/irvicr/, ili.iliKiitinn "if tin- liriiil tir 
iiiititT cxlri'niiU' i>r iIk* tilmln U'lri^ lln' nxiiH i-ontiiMiii, 
altltiiu^h lit) iin- ntn> ronii." it( iliMiiIiio-iiti'iit. 

Tttc ntliK-tiiiii uf di^lfHiitionh ut ilio linul of llir flhiilit 
U cllii'li'd by Hi-xtii)C the liy iijKiti tin- tU\g)i ami iiuikiiiK 
(iin-)-! iiri'^wn' nitil f.xlrn.-ion. l>ir>liM-;tlii>ii^ nf (In- loHcr 
fMri'inity nf thi- tilniLt »r>' ntlixt-^l liy iiiiitii|>iilnlii>ti itml 
Iintiwiirf. TItf clnr!*inn of iiiwt allcr riHliiciiun nf ili>>!o- 
(ntioiiH of l]ii- tilmln (ini.'^i.^u in lliv nji|)li(«liiiti of ii mm- 
[»ri-»n mill iniHildttl ()itt<l<-r'«-lK>cir>) ppliiii, iiml tlii' tlniwiuK 
i!il)(kiil<l )h' ri-tiiiiii')! for lUnv nr fimr w<i-kK 



DiHi/iciTtoN8 OF Tin; Anki.k. 

DlHltMiiriiiii of tilt' foot iiiion lliO iHtDra of IIh^ Uy^ 
n^Miills from tin- M-]>»nitii>ti or tlH* nrtiriiliir Mirtiui' of tlit> 
lu^tniipilnH from tlinl of llic libin bikI libiiln, im<l iIh' iIin- 
jiliitviiii'Dl iiwiy l>f/tniwirf/, boetvtird (Vift. •ll.'t), iT fnlrrnl 
(Ki^. 'MA), llir Iiilii'i- vitri<-ty iH'iiif; ofWii iinmx-iitlisl villi 
frai'liin- of till' tiuiljii'li. 

Till- niliii-lioii of ili-iiMntioiiK of fill- iitikit' ii- i-Hi-'ImI \>\ 
Inicltoii, fotiiliincl will) llcxjon iiinI ^•tllliol) of tlir iiukK-- 
joilit, till' W tx-iiij; tirot flfxit) ii|hiii the t\Hy^\t Iti n-\mx itlli 

tl'tlllo Ai-llilliM,UIMl in Hi|»i' itlM'n titl' MoU-llllllMfKlM <UvUki|| 

of iliih i<-ihIoii !■ rtiiiiintl JH'fon'llH'niliH'tion mil U-Nilti^ 
Ijti'torily ;if<i>iii|ili'<li<'*l. 

Till- ■ln-*'iiic ■•filix)<NiitioiiM of llicniikli' nftvr mlix'tinu 
i-oti«Ut> ill lln' ii|i|ili<iiiioii tt\' II fnuiiiri'-Uix, or of ixinlf- 
Itoanl -iiiititpi to ti\ (III- aiikl<>, iiin- lB-iii|; taki-ii to xf timt 
tlip foot i* lixtil nl n ri^lit iiii|:li' to llit* K^, luiil in iho 



DISLOCATIONS OP THE TARSAL BOHXS. 413 

»it])li(«ttni) «f vvn|i)iniliti)r lolioii" for ii li-tv ilayt) ; after 
till- )twcll!n); hiiK -nti-iflwl. n pliwUT-of-I'hrU dnwing 
Mli<>tilil W- upjilufl !iinl n-liiiiuHl fur ilii\r nr limr wd-k:". 



Pn.«». 



FH-UL 





Dttlonttoa of tm tautkmud. 
(Bkvuit.) 



PWoaWDn or ftot laMKl. 
ia%y un.) 



Disijooatioks of tiik Taiwai. iBoVBS. 



Tin- nutftuintuA iiiMv Ix- fliHli«-at«l fn'iii the l»om« 'if lltc 
li>^ iim) Iniin tlii? othrr t:ii><il iHnice, Unii}; ttinutt fwintnl, 
iMchtarti, tnUwani (Fijr. ;Ji5), or iniMi-i/. Hie rc<lu<-li<iii 
iit'(li)«l<Mnti'>tiH of tlic QglrutjQhia imlteartl h cfiertiil Ity firvt 
llfxtii^ ill*' I'v ii]Miti (Im' itiitfli iin<! niakin;; rxlcDiiion rnmi 
till- fii'it iiikI Pitnliiiic it al tin- siiiit' time, (lirect iiit-A.Min- 
l"irijr tiiitflt' ii|M>n lJii'ili.fj)|iii"i'<l Ikhiv ; in ■M>nii-(tifi'« mi)h-u- 
ifiii>i>ii^ Mvtioii itf llir irnilti Arliilli- Una of^'it^oti nuiiiTiiilly 
ill iIm- ntltK-ti'tti i>f ihi' iliii))liw-i'<l Uiric. Bachmrd <li»- 
lortttion of lAr aMrttt/tiltui iHiHiiitlly irniliu'itili- ; l)if]iut!4-til, 
tiowi'viT. ill iiiniiv t-iw's rf"iM'r>i with » ii-^i'l'iil Rxil, In 

IIMf-S iif ilTltllli-ililc (linliK-jlliuHH of lite aMnLCIllllfl, r',\- 

(■ifiiMi '>f till- ii^lrnt^uliin i(i;iv nlliiiiiircly Im' ni[iiin-al. 

\(\iT till- riHlitciiou III' ilUliMtilioii-i III' ilir ii^lraKvliiK, 
tlic liiot nn>l ItiE »>m>iiI(1 U- |Kit M rofit in n rniiiiin>-l>(>x, 




414 



0ISI.OCATtON8. 



or tiy mciinii of ni(Mil<k'<l B|tlint(> i»f iiiiKii-liiiiinl iir iV^lt;^ 
(Kvporslitijr IiitioiiM Hliutilil nlmi N- i-ni|il<tyM lo tlit- n-eiiin 

of llii- iiijiiry for ii fi-w (Uvis 
Flo. aa. uitd M hi-i) tli<' Hwdliii): hii^ xiilw 

i>iil>il. It |iliinli.-r'(if-i'i(ri*> ilrt^wi- 
iii^ '•hiiiihl Ih' .i]i)>Ih<<I nixl 
n-tniiiiil fiir tixtw nr fimr 
wwki*. 

t>Uiorttlion» of the mtra- 
nr»m itnil ucitfAout II|>»I1 Uii* 
luTrti^iUiis, or iif lilt' ntliHt- 
iifHiii it|Miii llii' a^nv/nhiM iiii<) 
aihoiii, nr ti|ii>ii till- lulr'tt/ftftiii 
iiImiic : c»f lli4- mmpfioid ninl 
eulioid ii|Hiii tlic '«t/4*M iukI 
oMraffalun; or nf the cttboid, 
BcajJioiil, iir minn/ocMt tiitiii'-, 
nn- (KiiL-iii'iiiilly im'l wilti. 

'riicir rx^iiii-linii is firpHwl 
by tnu-t!oii luiil diiHt'i pmM- 
iiri', iitx). kH^t rttiii \uui Im-ii 
iiu'<mi|>liHli<'<l, llir ]uirb> ■'hotilil 
In- |Mit lit n*1 hy till' ii|>|ilU 

i.idoc-a-..»f..i-m»iu..,..i-»H '■"''"" ■'*■ " -I'''""' '""' ™'"- 

(UlKllTOO.I |inw«'H, 




Dmun:ationk uv thk Mctataicsai. IJ»>sw asi> 

Tln«i* dii-liHiititmH iiniuiIIv r«-«iili fntiii i-ntHliiiif; fnnoi 
whHi (Iminjy tin' vitality of tlu'Mifl \nTiM w> <-<>int))rt«ly 
ihal niti]iitliilioii U ntiiiinil. Tlii-ir r> ill n't it in in (sww ttf 
.■4itn|ili-or lino nil |)|j<titci) ilixliH-nljoiio t»t'fl<H'l(il liy inti'tioit, 
tni»iit|ititiili>iii, iini) jiifwiiin-. Aflcr niliK-ilKii 'if tlir iliti- 
|itiio-niiiil, ttH- |Kin- »ImmiIiI Ih' k<-|ti in jniitiion by thi> 
ii)i|ili>tilii»ii iif «>|t|inti> iiihl nmi|inwMi<ii. 



OLD DlStOCATlONO. 



415 



Old Dkiwiatiosh. 

TIh- n.>itiR-lH)n i>l' lilt) ()lHliti'atioD6 w t\ttrtMi*tl with mure 
diflii-iilU' awl danger thai) tlial »!' mvut ilUlotnlioiiii, due 
Ut (Up ]HTP>i»miit (ntntnii'linii ami stnirtiinil cluiiif^ which 
ivnir iu Uie niiwltw, iind l" idi' aliiM>niml iidlirfimiH 
which liiriii lM-4w<fii tin- (linjilaixHl Imnv uikI th<- |Kii*tH 
with which it i)< in iimlai-t. The nihu-tioii uf i>hl diH- 
l<H^atii>n» ran iiMiallv he OLiiimplir'hitl liv the rii»ni|Kila- 
tiiinn npprnprialt.' Itir rw-iJit disloi«ti"n» .if llic siinii- 
viirirty, but (Kitnaiunally thi> iiw»rD)iin> rnrcihlv vxtt-iwimi 
i» rwitiiml, which la made by bundii niid |>nllpye (Fig. 31ti), 



rM.n«. 




lliaiataonaTM<aaomltmtt11»»lmm*fpaauf. (OMMOLt 



or Uy vcrtifid cxicaHtun (Flf^. 'tl?), Tlw Itrsi i4li-|i in tin' 
TTtltMlioii oriihl itiHlitmliitiiH nnixintri in thumu^Ehly Imnk- 
tn|f n|> thi'iulhfHions which )uivc Ixfn Wnusl tx-linn-ii xiw 
ili-|ihiii-<l Imiik- tiiiil Ihi- •nrn Hindi 11^ tt-^ut^; thin luis, in 
ntmii- •dm>, nviiliH) in the hui-mlini) of niu-«'t(^^, n<'rv<«i, 
lUid hliHH|vi-K4<U, inid ill tlir f'ni<-inn' •'!' llic illHiihi'iil Imiwh 
or tii-i^lil Hiring: UtiK^. ■•• ihtit thr iiinni|>tili)lionb ^hixihl Im' 
iiuulc with th<- I'li't fiirii' thnl will iiiii>m]ilt;'h llic ohji-ci 
ihMnt). A(\ftr the n-chn'tiiin orohl disliHTittmii, diffiitdty 
i* HunK-tiiiiix •■xjM'rii-n4i-tl in tniiiiiUiiriiri^ llir Ixtni- in ilr^ 



416 



DISLOCATIONS. 



|)iM)H'r [iliio', (lui- (o tliv (-li;iii|^'n uliirli liuvu iKt-tiiml in 
tlir itrtii-iilar fliiH)UV.-«. 



PM.in. 




■MnoUMiaroU^talocMMuaf hlpbir wrUnlwwoMoB. (BHiUMr.) 



CuUfOtrSU DitlUXIATICtNK. 

TlicvM' an nlwuyi) tfniv«> iojiirKw, uhI iiiii|i«it»i»in »r 
rxi-Uiiiti w ttfli-n niiiiinil. ulini, bowi-vtr, i'j"*mliv«' 
iiHiL'<im'H iin- iiol n«|iiirnl. llii- rnliii-li>m in cIlivH.'tl In iIh' 
Mtnii' iniiiiiii-r il- tii niiiiiilc (lixtiHiiliiiiin of iiirn>|HitHlin); 
|inrtj>, till- |;nwti-p<i <-nn' iM'iii); uki-ti lo n-iHli-r llti- woiiikI 
iiniiiiif, ami |(( l«v|i !t iit iIija iiiiiililii)n l>v tin- aiiitlimlinti 
(il* II full an I iM-] It if <ln-MHiii|[. 



OONOBIflTAI* ItiaLOCATIONS. 



417 



I 



OoMPl.lCATKtt I)t!*l/>I'AT10SS. 

In dlalocutions inimitlirahtt liv rntdiiiv n«ir t\w enl of 
i|i^|ilmt'iiioiit, Uio itiri|iIaiMil Ihiih- shoiiUI, ij' |)iKwil>It-, Iw 
tir>-t rfnliKi.tl, mill tliL^ iii iiiaiiv caneir \ir ii iiiitttor ol' iiiiK')) 
ililHi-iilty »!< (lie fnictiin' piwi-ntti tin- xiiiycvxi riiitii iir^iii^ 
Ii-vt'Hijif otliprwiw uresi-tit, in tlif rwluctioii, aiixl lii' lins 
oftrti to (Ivpeiid fntirt'ly mmn prcsstirc and nmnipiilfltitHi 
to rcetMtv till! ilUpLuvnieiit. 

After niliii-tioti uf tin- lUi'locwtiiiii the trwliiiv Mtiuiiltl In> 
reditiTil »ii<f Orc»ritl. 

DUl<K-utii>ii (yini|>li<iiU'<) li\ rii])turp of tlH> iimin urtvrv 
of tlif liiiili luiiv n-()tiiiv, uHi-r niliK-lioii of tlie tlUipliui- 
iiifiit, i.-x)Mmiiv mill lipiliuii 111' till' VMiiicI or iituputaliiiti 
of tlif limb. Itiipttm'uf uii iniiMrtiinl m-rvi: trunk cvi»- 
plii'aliiig a ilLxliHation nuiv I'sllltir siiliHciiii^-tit oxpusiirv 
and Hiituriiig uf ilie diviilwl nt-n'e. 

Sp»»STA!(BI)lTS FaTIIOI/MIII'AI. ANH ('iiMiKKITAI. 

DlSI^'ATlOSH. 

Ill IIk' Intitmiiit of iliveo vurirtim nl' iliiliH-utHiiifi iilU'r 
till' rviliK-tiori III' t)H' iliHiiliH'ciiM'nl by ii)imi[Hilalii>n iiimI 
jircwiir<* niiiHi didii-iilly mnnm rxiM^rii'tti-x-d in iiminlnin- 
n\IZ tbt' niliiftion. To i-R'ivi (Uc Itttier objii't llii- n^ii- iit' 
K[iliiit)^ .tnil li)U)dii;?>' t* t'titployiil nml iil>u> tbr ii-it' nf 
miiiiy iii{^-iiii>iifi loriiio of .i]i[>:initii<: ailii[iti4l to jiiiniriilar 
ilinlo-iilioii-. 

7'i'noloaii/ or mtftilomif iin- ofli-n rti|iiin'<l lo |ift-vc»l 
nHiim-iH?T* nf iIh^ deformity, iind itintinuoiM I'xttiioiou is 
iiWof uiiiH) viiinc in tin- tniitim-n( of ihiw ilii«)iliwvniiiilc. 



PAKT V. 



LIGATION OF ARTERIES. 



Ix ibe gpplirstino <>r ft tipinin- tu in nrtrrr hi its ran- 
linuity thv Hir]fniu .-ihnulil nuki- liU iiii-t-->i«a in tin- linv 

M)tM-fa r«-m5'("i>D"Li Ii« till- [:»I»'r»] n>Ur*r of tin- Vi-rv^-I, uimI 

Im- Hltniilil Itr ilMini«i|;liU IkiiiilUr with fh<- uiaioinv aw) 
irilli the snnusl IsmlnnrLs or tlw pari. A [-trliiin of 
llu) nawl, wnm ihmmIiIp, aIhiuLI !■- M'lM-inl for iIm' n{>l>li- 
nMioo of the tientiinr half nu inch orati inch rnta wiv 
IniV mllAUml ttmirli. 'Dii- inr-ition iif thr iui!t«iuii Iwitig 
M-ln-(»l ilir r-iiivi'vii Mi-niiii-^ itic -kin nilti t«ii> ffugm> mtm 
aiakrK au ttH-i-Ii'ii nl' ilir nHftiiml lt-iii;tli llimuith it with 
ft ttcal|»l ; tlu- niijurHiiai tnM-iii t* n<-xl |>ii-k(^ Up on a 
liinvtiir, any Unr'- Mi|«TfiriaI vi-inn whirti ■^imm- inltr view 
Mnfi alifplw-nl, nnil dividt*) tunn r<|iuil l<ii)rth with ihr 
iitrHniiin in lh<- f^ia ; tiir Arrfi fsM-ia U-ini; <>x|mjm'<I it 
ebiMild lip nirknl sinil diviili^l iiibui n din^iur: iIm- iulvr- 
ninM'iilur HJIIU1' nr tlir i-d)^- kI tlir miiMr-U* tir iniisr-J*« 
M'tlii'li IIP' t)t'' ^fiiidi- to the v<-!^4'l t^lii'uld ih-\I Im' i^Ki|rbt 
fur, ■null) v<>v4-l> mininj; from tbf nuiin vitim-I lhn>ii|;li 
Ukiip »]jwit> will o(Vn eenr ae vnlitnhU- untcb-c to th«- 
piiaitioD <tf the viTocl. '|1ti- fnnrivtii m-xt M'|uinitm lhi> 
ItmtKo nilh tli<- dini-lnr, liaitdlr •>(' (ho knifr, -ir iJir fioftcr 
until iltr •liiiiili kI' ilii' v(->M-l ii i'i,[KMil : ilii)^ ii' m^i|niixnl 
liy il- ftmininiii'Tiliil )>iil*ciliMn mid l>v tin- idH'txi' of ibc 
Kiiiottli ■liiiiini; •iirfnM' tnul pitiki'-li-whilr' ndor uliia^i 
thv viirtjui- III' (he urtcr^' pn-^-nt». Tli<- «hratb of tho 
■rlorj' Nlxdild !«■ pKkr<d up wtlh f)tn'r|wt iind nii-kttl willi 
i1m< |i<>[nt of iIm' Kmfc ftpplini flNtwlai-; llw im-inion into 



LIOATIOK or AUTKRIK8. 



4tS 



(hf nhnitii iJiimlil 1m' vi-ry liiiiiK'H, only larfcr citniigli to 
allow ihf iiiiiiiriHiii iKitlli- to ]mf» ihnniKh it iir»iiiicl tli« 
vitwl ; oxIi^'Hsivf iliHHti-tiiiiH or si-|iiiniii<>n)« ■■!' tltc slicatli 
rnmi thv v»i>4'\ "hoiild tx' uvoi<)(i), il-< tlic nntriiimt of itii- 
nrtcrv ut (In- iHituI of li)ntliirc niitv thus U- imiutinil uihI 
sloii^ttiiit); un<l miikitiliirx' lii-iitnri'lm^- iiuiv ri^iilt. A fiif- 
tiud Kimitli tf> riiiim) oiilv »l>»iil itic iiiHiii nrli'ml tninkc, 



m tiA 




Pra.8» 



UfMnliiK ibMlli. It«la( U^iim «>iiu^ Uio 
>Miil. TrUfUtftT. (hirun.) 



Anvuiian nwJI*. 



whi<'(i !■* njilawil in llip einnllcr iirU'riit* liv n liivtr oi" 
liMRU- i-i'UiiIur ti.-<f<iM-. Till' witll of till- iirttTV U'iii^ fXiHMil 
mi iiiM'iiriaiii iiivHIc in juLviil iiniiiiKl th<' vnwl, llinwlci) 
will) a (iilpiit li){atiin-, ami Milliilrnuti; tin- iitiHtlc miiv 
Im- llmwlol Ix-fiin- Mtiji |)rmi'<I, in wliit-li hlv tin- li^riiKin' 
tti K'^'*!*''*' ^'t'' tlin-i'ii-a iiii'l ilninn lliron^li vtiiilc tlit- 
tM.-nll<- IS wtlliilniwii. Till- Ini^t tiinli'i-iiil lor tiiriiliinw in 
iiin'riillv [•fi-|uinil ■■liniinivtMiicul^'iil. Tlir iKitllr -liotilil 
til- |ttiMM'(l nnav fr»m iiii|ionniil flnniimw cik'Ii hh wciiiii- 
jBinyiii^ vriiiH iiikI ni-rvrv. 




t«* Uk ■■ytiiaiMM tif a few svnow., aa^ ■ 



Ui^tioa of Special Arteries. 
I,ii,,»T('.N or Tilt: Innomi.vatk Abteby, 



TIk- ifiiiiimiiiat'' arti-n li*^ inirn«-"iiat»-ly hchiml the 
••l<-ni"-<'Iavi<-iilar uni<-iilutioii. aiiil i~ in nlation in (r»nl 
will] ill'- ii)tiii(iiiiial<- v>'iii~ ;iii<l |iiM-iiiii'v^i-iri'- i)or«'e, <hi 
llif- iiiii'T -iil<- uitli ili>- trj'-)ii'.i, 'III iIk' <>iit<T ^i<1e an>l 
|j)'liiiii| uii)i ill'- )>lrt]ni. 

Jtii-ixioii . — A V—liaji'-tl iiii'i-ioM. i-aili liniiii'h of which 
in iw'i :ii]<l a liall' nr llin*' iti<']i'-~ in l<'u;.'llj. iiiK- of whioh 
Ijm ijv(-r ill'- aiili'ri'ir nl;;i- ol' ili<- -I'TiiiM-lfitlii-niaRtoid 
iitriM-1'', ari'l lln- ntln'r iRinillil i'> ami a littlf abnvp the 
(■liivi'lf. ( I'ij;. '■'i'J.'>, A.) Till- inri^inii^ an- iiirricd down 
t'f till' niiiM'rlii'iiil ta.-i'ia ami a Daji i- ili^Miiiil ii|>. If the 
iirili-rlor |ii[.'iilar v<-in i- iiii-l tsilli il ^lllllllll 1m.' dii^placvd. 
Till' -Icriial anil rlaviriilar attai'linii'itts of the stemo- 
<'l('ii|ii-i]ia-ti>iil art' iii-.\t iliviilnl ufHiti ;i dirct'tor half an 
iiii'li iiIhivi' ill'* Ihiiu'. Till' ^ll'^tlll-Illy^<lid and !4tcrn<.>- 
livniil iiiii-"'ii'~ :iiiil till' iiiLiliili' ivrviiiil liisi'ia are next ex- 
jHiMfl, i-iivrot liv till' tlivniid vciiiR. The i>iit<'r fibres of 




r LIOATIOV or TDK SUBCLAVIAN ARTKBV. 421 

I tile sterno-liyoirl and 8*erm>-lhyPHi<! nui»f](w arv nt-xt 

I dividn). tlii' tlivmid vein liciiif; Im?I<1 ii^ide, wlioii ti[)(>ii 

I Icariuij i)n»ii)i;li tin* la-ii'm H'ilh u ilirii'tur i)i<.' iiniimuii 

(nrotki artery is cxpi«(<d anil imii.'<l down to tW Uimimi- 
nat« artery : tlie iitnoniiniite veins ure pnii^wd uji^inKt tin- 
Htcntiitn with iIh- tinwr und tin- artcrv it f(>|]anit«<<l fnnn 
itH Hlinilh uUmU liiill uii iiM^i Mnw ibt Int'imwtJon, hikI 

flit. MO. 




UmaT liwldoiiiw— J. InnunilliKWkiliirT: ff.rifM wbclaihwuwwX) C Mfl 
■nbelBilaB krtDir; D. icrWbnl a* Inltrto* ikrnM ■neo': ft •iillarr •mot 
Wow tteiMlo ittnaauK.) 

th<! aiHtirisiti iKHiIIo ■)• )nwuil anmnrl tlH* v<-*wl (Ktiii lli«> 
iiiiliT liidi- w> IIH 111 Nviitil iIh- vein, ])iH->in)()RiinIri<- nrn'r, 
iuhI pleun. 

IjKIATION ok TIIK SrBTLAVIAX AltTKRY, 

'rtitfl arti-ry ntuv In- IimI »I timi- [HiintH; in itA Jrrd 
porttiiti, U-tno'ti tiHr trsurh^n und ^iileni inuM-Ira ; in ita 
»fe(iH<l |Hirli>iii, lifiiiml tlit- M»lci)i miiM'liii, aiid in il« Ihird 
{Hirtioii <'xt«-n)i>l tif tliv wuleni uium'Iim. 



422 



LIGATION or ARTKRIKd. 



Titr U'A Mib'ltivuin itrtt-n' in it> first purlinii 'u> Inn 
hikI mere wrticnl in i(n ilirn-(i<ni tlinii ilii' rij;lit -iiltdnvi 
will tn sittuiUtl itioiv jMihtrriiirly ; I'nuii itii- iliilictilty 
(^)M»iii^ llitK iNirtiun, niu) fntiu tlir |Himil>ility <if injiirint; 
llir lliumcti- au<t, ihi' li>?il!oii of tlii« artcTk' in ibt fit 
[■(rtji>n lubt Ixi'H H-I<|i>iii altcin[>Ui|. 

fneiMon (uT th*- Hml j>niii<ui »( thv fiilH-luviaii urtrryl 
U ttn- r«mi* iw lluit l<>r i\u- itiiioiiiiiuiti' (I'i);. '■V2f>, A ), iintlj 



riu tii. 



»r'*t^\ 




tlir li|rniiin< !■ inUm'^I fmiii ilir imUit niiU\ t)i<> uamt 
pvirir iiimI I'lin-iiii- ix'tA't'H iH-in^ |invuHi] iitwuni innunl 
tin' (nmlid iirtcry. 

Till- rtKli' iir Ii-Il HiiU-luviiiii iirtmi« tin* dI«> m-IiIhoi 



LIOATION or THE rKKTKURAL ABTKRY 



423 



f 

I tied in their wchimI imrttiHiH, lliat is )it-)iiiHl ih*- wnltiii 

I miisriiv., Iwt lire rnijuciitly lied in llivtr lliird (Mtrli<>n«i 

I that is external to tiie srulcni niti8i-lt«, 

I IneiMoa for tbe ateond portion of iIk* iiill>cliivinii iirliTV 

iMrjfin!' iin inrh exteron) to ttit' stt-ntu-i-liiviiiiliir iirti^-iiliition 
Imir un ini-)i al>()ve nixl |iunilli-l to lliu i-lnvick-, jinil if (lin-o 
iir (<»nr induw in lentil)' (!■"'«■ ■'-"' '^ '"" '"■) ''"'"' '"^'I*' 
iif tliv <)|K<mtiiin iin- tlii' «unK- n» for lifpitioii vf iIk- lliini 
giurtiiiii, Mni when llie miilcniix nnliitiT> iiinMtrle lim )M>eu 
fX|M]w-<l it iif (liviiktl MitMH It dinsiftr; tlw [rfircnio nvrvv 
w'hti'Ji li« u|M>n il« tintvrior n#|Mt-t \» U> Ih- ii\'«>)<i('<). 

Innifiim tor llw Ihinl portion of llic Miltclnvinn iirtcrv is 
IIm* Mime iw fi>r tile wmnd |Hirliiin. ( Kip. :fjl). H or C.) 
The rikin and iilnlvhiitu Ikmhh ilividitl, thi- jiipdnr vi'in iw 
rx|H>M<d iind cimwn to one "idv <>r dividitl U-lwivti tlte 
liKnliirM ; \\w Miperficiul fiuuHa \* tH'Xl divitUft u]>on n 
dipw-tor; the |»iwtrri(ir In-IIy of (In- lUinf-Iiyoid niiisi>1«- 10 
next fniind und dniuii iiiiwiinl :iiid oiilHanI ; tliv oiiD-r 
bonier uf til (■ M';il<-nii)' iinticiif I- iii'\1 felt for .nitil fiiMi>wcd 
down to llic tidnTi'lc of lln- fir«t ril»— iIh- artery lit* 
I4:uiti>it lliiN ln-tw<-cn ir Hiid tlir loucMt btiiKlle of titi' 
bnieliiul plcxiif. Tlte urlerv i>^ wxt deniidtil nillt tJie 
dirt<Hor nitd the ne«tllf is initvcd front U-low, cun' ln-in;; 
tnlten nut to im-liide (lie Iiiw^Mt hiiiidtc of the hniNiiui 
|)lexii» in llie li/»tim-. {V't^. :t'JI.) 



I.HiATKts nr TRK VEiiTKtinAi. Aimutv. . 

SneiaoH for \\w lienlion «>f the vcrtelir:tl artery is llirw 
or thnv and a hnif inelie« in length, imntllel willi tlte uii- 
li-rior tilui- of the Htenio-eieido-niiiMoid niim-le. emlin^ »n 
iiwh sltove the cliivirle. (Fin. ''^O, lK\ The anterior 
clc" of ilii'»'teniii-i'li-ido-niii'^("ii<l lieinj; ex|i"iMxl llie middle 
ot-niiiil fiiiM-iit is divide<l luid llie <itrotid iirter^' and jnt;ii- 
lar vein an- exixiHed and dmutt iiiwiinl. The }[ii(> Ih-Ihmii 
the hin)n>" ''•■lit innsele uimI llie MwleniiN antiens ntniielef i» 
next fell for aUiut nil iiH-li U'low llie ninitid tiilierele; llit- 
fasi-in ntvi-riii]; it is nrxt torn lhniii):h and the niiiM-lo!< are 
Be]uirttled uikI the vertehnil V4-in u>ni<« illlo \\f\\ ; lhit> in 



420 



MOATION OF ARTBRIK3. 



ik-lun- (Ik- lij^tiin' ih tiiil tin- iiiiri;ti>ii elioitld Mtu()i' 
liiiDpai-ll'tliiit (Ik- lij^aliiivu'lti-n IikI wit! iimlni) llirriniilii- 
tioii ill I lit- vi-*4M') L'low il« j>iiiiiliirii|>)>li>-uti<>ii, liy |il:ii'iii^ 
tlic ti|> (tt* Win liM>;i-r ti|Hiii llii- v<t«ti-I iiiiil >lr»>viiiK ii|hiii iIm- 
i'IkU of l)iu li-^ihin- tH> :if^ (o imx-IikIc tlit- vohhI iii tli<- |>oiiil 



DriiiiiiHi'iiliiiii. [kill); Hitiiftiitl ai^ o llii>' ]H>iiit tin- lij^shiiv 

U tit'«l willi II 1 

mniliiitiil. 



ixi't-kiiol, iir a 8iir^>Mi'i7-kii4>t and nt-f-kuot 



S(>U)v iiiillinritiw nx-uuiiiHiiiI iho ii|>|ili<tili<)ii of two 
f niMin 
ill llifir i-tiiitiniiily, iinil a •livi-iuu ol* iIk- vrnnA tx-lwifii 



li(^ittin>f> 11 iJiiirl diflaiKv niuirt i 



Iho iii>| 
II till- III 



iK»ti<ii) of vtxMdH 



Uii-m, Hi> lliut Imlti cikU •nil n-lnu't iiili> tin- ii-lltilar •'hi-ntli. 
'Dii- t-iiiU 111' tliv litoitiirc an? i-iit ftiort in l)i«' woiiiul, 
nliicli is irrit^ttti] uikI ilniiritil if ntxt-wnrv, ami i* i'Iiim<iI 
liv ilic u])|>liiiitif)ii of i( fi'w siilun«, uikI iiti iiiiti>«-[itii' 
dniwiii); if a|)|iliisl. 



Usatlon of SpMilal Arterle*. 
lilflATKiN OP TilK lNNI>UtN'ATK .\ltTKRY. 

Tlic tniMiiiiiiialv artiTy lim iiniuiiliuu-ly Ix-liiiiit tW 
Nlfnt'iH-tuvii-iiIar art !• illation, and !■ in rt>l.ilinii iit fmiil 
uilli till' iiinniiiiniiii' va-itin himI ]im-<iiii<>^iif>lr!<' ihtvi', itii 
(III- inner >>i<|i- uitli Un' inu-liiii. oii tlu> niiirr tddf and 
iM'tiituI with iIk- iilcnni. 

Incmim. — \ \ •■luiiKtl im-iMoii, <wli timiii-h u( wliii-li 
IN Lwft Hiiil n liiilf itr tlini- ini'lio in li-ii^li, mtr of uliiHi 
lic» over (lie anli-rtiir r<ifif of tlic Bl<-niri-it<itIi>-Miiwiiiid 
iiiiiN-li', and lli4- trihi-r [mnilli'l to niiil a little alx'Vi' th<- 
dHvioIc. ( Vig. '.i'M*. A.) Tin- iiii'!j<i<>ni> iin- mrriitl dow ti 
In the MiiH-rficijil liiM-ta iiikI a Ititii in iliwuniiil up. If ihi- 
nntrrinr jn^nlar v^in ii met witli it Hlioiild Im- diitfiliut:*]. 
Thr uti-nial aw] >lBvii-iiIor ailiu-linn-nlii of tin- !tl<-nicw 
<'1*-idi)<niiii>toid an- n<'%t divid'il ii|wtii a diri-dnr Iialf an 
iiirli iiUivc llii- l"iw. Tin- t>U'nni-l]iyn>i<l nml wtcnuk- 
liyoid iniiiu'liv and tl«' middle (vrvioil liiM-in an- next cx- 
{Miwd, HiVL-n-d liv tlif ihyrtiiii vriDK. Tin- oiiur fil.nw nf 



I 




t^SM 



LlOATlOtf or TOB aUltCLAVIAH ABTERV. 431 

the Blcmo-hyoid rihI stcrno-tliyroH luuscltw arc next 
<)ivi<lpil, Utc thyiNiul win bchi); ftcM aiiiiU: when upon 
UnritiK thr<iii);h tht- faM-ia with a ilirt-clor the rttmnioii 
ninttul urtcry is c\]Hi<tp<l ami Intttxl tlouti lo the irinomi- 
nnlc urtery : th<- iiimiiuinale witm nix- ]iri(^^i§c<l u)^iiiril lhi< 
Htoriiiiiii with ihf tiii|^T ami (hi- ark>rv in wfNinitwl fntnt 
I itH liltmth iitioiil tiult' un iiic^li bchm it« liiriirtiilion, und 

UiwariMWoiifc*—^. lanomtiwlaaiWrF: ft. ii|M*iit>'U>laiiuM4T': CMI 
■ubcMiUB ■nei7 ; l>. rvrttbnl ua iDtalor ikfririd •rterj' : K •illhvr vwit 
tulDH t%TKt>. iBnimw,] 

lli<> aiH-driMiii iK-tfllo i« iMMWc) aroiiiiil thi- v«iwm-I rpiin thi' 
iiiili'r Mv HI If til nviiiil th*- vriii, |)ii4'iiim>t!nrin<- iicrvc. 
mill {ilcura. 

IjnATioN OF TiiK Sriwi.AVUS Artkky. 

Tliix nrb-H' uuiv Im- thnl al tlim- |Miititt<; in its /nf 
(Hirliiiii, iM^wiiti tint trai'hm iiti<l atiilrni tnUM'h<»; in its 
necnntt |Nininii, Ix'himl (lie ■viiilfiii iuii>i<-h'H, ami ill Ua third 
[Mirtioii cxti-niiil (ii tUv Hith-iii uitiM-h-tt. 




422 



LIGATION OP ARTERIKS. 



T)te left HiiMnvtan artery io ibi tinrt porliitn is Urw 
and more vertina) in it8 dinx^inn tliati llip ri^lit suliclavuii) 
Miiil U Mtualed nwn- poKteriorty : IVmih ilif diHiruUy iu 
<>X|M)iiiii^ llii^i iMirtion, and i'mm tlio |>OBBil)ility of iiijurinjc 
till- tliDi-arii- duel, th<! li^linii of tliU artery iu tl& litM 
IHtilJim has Imvi) ^cldiiiii utt('ni])t«<l. 

/NciMon for ihp firnl portion of iKp aiilx-Uviuti art«-rY 
U ihf ««ino as that lor lli« iuwriuiiuito (Fi^. •120, >'!}, uiul 

ni>.sti. 




My rJtptilt 



'/^•u/-/'< 



thr liffiitiitxt iri jKiKMil fnitri till- inner side, the iinriiitu^ 
jfiLntriv uiid |ihrx.-uic t>i-rvt« lN*iu|j pnvBud iiiwaru tuwArd 
iho nnrtid nrlrry. 
TIm' ri|fltl iir Ifrt aiilHaviiin artfriw arc alwo M-Idnm 



LIOATIOX or TRS VKRTKKKAI. ABTKRY. 



42S 



f 

I tini ill tlieir wtiHid pnrtiiMiti, tluit U IwliirHl tlip wiiloui 

I niiiM-lefl, bill iin? IWiiuonllv titvl in tlifir thinl |M>niikn4, 

I tiiat i.4 «.\U<miil 111 llie M^Ioni miL'K'Iea. 

I fueimon for the tffoiui /loriioit <if' tlie stil)olii\'ian artwy 

Ixvins an inoli fxU-rnal t<i llif wtcnioM-lavinilar arliitilation 
liall'an im-ti alxiw and ixtrallel to tlic i-laviole, and ix thitf 
nr fimr indira in length. (Kift. -Vi", B or C) Tin- sK-jie* 
i>t* ihc o|>erati(>n nro Uie same as for li^cation of the tJiird 
jmrlioii, and when the sraleniis nnttniti mtiM-Ie )ia» In^u 
ex)MiM?() it is dividetl ii|Min a dirwHor ; the |>hr(>ni<- nerve 
whidi liea n|><>n its anterior aHjxvt is to lie avouled. 

Inrixiott tor tlie tkirxl portion of ihc Hiiliclnvian urierv is 
the tame ax lor the w<i)nd |Hirlii>n. (Kig. -WO, // or C) 
The skin and nlatysuia beinR dividttl, the jiiKiihir vein is 
esjMi)M>d hikI drnnti to uih> si<le or <1ividi'd lN.>tH'ivu tile 
Ibatnreti; tlie sii(irr6eiiil fuH-ia is next dividitl n|K)ii a 
dtw^ftor ; the jHisterior U-llv of" the onio-hyoii) niiiM'U' is 
next f^Hind awl drawn nuwani and outwnix! ; the outer 
border of tlu- sialeniis antieiis i^ next lelt for and folli>we<! 
down to the tnlwnle of the firil ril) — tin? artery lies 
u^inst this, betwt^i it and the lowest buiMlle of the 
hnirhial plexiis. Tile artery is iiesl denwded witli tlie 
(iiit-'-lor and ilie needle is luisM-d from IkIow, eirn- lieinj; 
taken not to in>-liidi' the low<-st liundle of the hnii-Iiial 
illexlls ill the li)^Jtlit>-. (Vl^. ■i'i}.) 



ItlUATIoN OK TIIK VeIITKBKAI. AitTKItV. . 

/nn'mon liir tlie liratton of the vertebral artiTV U thm' 
or three and a half iih-Ih^ in lenifth, inti-iillil with (lie tiii- 
li-rior edjp" of the slernoH-letd'>-niit.''t<>id initM'h-, etitliii^ an 
ilieh alxne tlie elavii'Ie. ( Fitf- -'-'^i "■) The niiterior 
til^'of the»^tt'n)i>-eK'iihi-iniL4t>iiil Ixiii); ex]M>.-a-d the middle 
irr\'i(al faseiii in dividnl and the mmtid artery and jujiti- 
lar vein arv extMuied and drawn inward. TIm> (tap Ixlwot-ii 
llie loninm •iilli miM'le ami the Midenii/< imtiens mnsi-h'H i* 
tiexl frit lor altoiit nn im'li liehiw the iiimtid tiiUn'h-; the 
faM'i.i i-ovirtii;; it is next torn tlirongh luid tlie uiim-Ii-k mn- 
M'lmmled aiKl the verU'liral vein oonicH into view ; this in 



4S4 (.lOATIOK or AltTCftlKS. 

lii>I(l guide ami tin- vertebral artm- is i>S|>osi>i], iiikI tJif 
li^tiirv is then |NUHe<l an>iiml t(. 



hHtATION (IK TIIK [nKKRIOU TmYIMIIII A RTRICV. 

luciiiloit fur iIh' iiilc-rior thyr>ii<l iirierv is the ssiiiir um 
lliat fiir tlif vi-ruliral arterv. (Kiy. .'till, W.j Ttie uiitemir 
iilgt- of llie «U'nu>>4-lei<I(Kiiia»li>i<l tuiiwlt.- iH-iii^ ex|H)Mi>il it 
ifilrovrn (•iitMunI, tin- itikklle i-ervinil fiiwin k next iliviilMl 
iiiul tile («n>liil iirtcTv ami iiileriiul jii);iiliir vi-iii ure tlniwn 
■ iiitMiinl witli a n-tnu-lor. TIic hvw\ iK-ing Hi-mwl (^li};t)tly, 
tli<- Mirpiiti lix'l» fur iIk- iTtrotiil liilx'n-le, iitiil lli<-n iv|«- 
nitcH tlh' (flliilnr li<wiie willi a iHiii-lur, uihI llie iirltTV 
hliixilil Im- rt>iii)(l In-Iuh tile cttrulitl (iilN.Tele. TIk' iHtdlc 
nlioiild U- (KiKNtl ImMwcioii tlm itrlvrv and vein. 



LitiATiov op TIIK Intkiinai. Mammaiiv Ahtkkv. 

InfUiitu, H verlimi ime, two nixl n tiiill' iiiilutri in Icpf^h, 
(i>uiiiietirii)^ lit the lower Ixinler of iht- i-liivii-le, ]iaralli*l 
wilh mill ihn-e liiiei' exteriiiil li> the iiiiii');iii of the i>t4-niiini. 
Divide the nkin iilxl NUpertieiul liiM-iu iiiid ex]Hi*e (he lilin-r' 
of tilt* iwcttiRi] iniiivie, tJ)(- Dxtenial iiilfmHliil u|HiiM'tinMiii 
nn<) the niiK^Tiihir tilim' nj' the intenuil iiiliToiHtnl iuiit'-Ic. 
ItiiiM* the fiiw-ieiili of the hitler iiiiiiM-le ii|M>ti n <lir<i-t'if 
iiik) divide tin-in. iiml tlie vevw-lo will In- (■\|h»4'<I. 

The inlenml nuiiiiiiiiiry iirtcry i- mit uttet) Iteil In-Uw 
llie fourth intercMtal fjHur. 

LttlATKIN OK THK OlMMdN ('AiMynn AirrKKV. 

Tlir ptint t*t fln-tion for the lipition nf thi* iTKtim«>a 
■iirtitiil iincry in uihI nlNive ilie onio-iiyoid miM-lr, iiIkmiI 
thni^lirarler* nl iin iiieh Itehiw the liifnniition of tlif 
vcMM-l, whieh liik<« |ilii>i- fli n imini >>n ii liiK' H'ith th(> 
ii]i|H'r iHinhr iif ihc ihvntid (nrlilnp-, 

/hcmuW for liiv f<>iniiM)a cimttiu arttTV l4 thnv titrhm 



LIQATIOH or COHHOH CAROTIb ARTERY. 425 

KtcXC 




--^^*3£.&S'^C.S-" 



mallm uT eMDHRM farUM afWrT- I-IVMId«s( btWMMtj, ili«*>rr.l 



4^ 



LIOATIOK or ABTKRIKS, 



in Itiiirtli iiloiif; the iiiiu>nr>r Utrilcror tlk< itti*riio-4'l(-i(lo- 
iiiiiM'iiil itiiiM'lf, llii< ivntn- or whit'li <><)mif[NiiMU with tin* 
i-ritti-Uivniiil hmkv, (^"itt• -I'-K.) 

Divide till! HKiii, pliitvMiiJt iiih) (i-lluliir iimnw and mfn- 
■M-iini«i9, AviiidiiiK tlic fiigMTtii-inl vcitix. mid i-x]))Mc> tlu* 
miti-rior t-dtp- "f" tin- Hli'niii-i'lciil(»-iiui»r<>iil ; wrk fur ih*- 
iiiti'WjBi'v Ih-Iw<i'Ii (liii> niiiM-lf uiid On- hlrriMflivdiil ittxl 
»li'rtii>-tlivnii<l tiiiiM'Ics, <Ir(iH llir Imin- iiiiiw]<f< tiiHtinl 
will ihi' iirtm' will Ik- fX]>(Mil witli itw Ju^ubir vtHn 
fxtcnuil li> it ; tin' (IfMviuiciiH ixmi iH>r\'«i Iviuk u\>on its 
iilinitli, wliii-li nlimild Ih> ili.'^|tliw^<4l iHitwnril. Thr HlifHth 
in iir.vt (nckifi iiii iiiid •i|h'IuhI uiu) titi- iirli-n' ix M-iMimtwl 
rmiii il will) II iliiNi-iiir; llt<- iirtrrv lii« iriU'rtiiillv, tlit- iii- 
U-riml jii|;iilnr vein i-xtiTimllv iiikI ^mifuimt tixin- Mi[K*r- 
IIi-imI, hikI (he |iii<'itti)i>}ftL-<1ri(- iii-rv<- IJi-x Im-iwccii the two 
lUiH i* iiion- dti-ply iilitotl. ( Fit;, -t^'t.) Tho iiviiiiiitlli<'tir 
tMTvc is jMwtcrior tn iIh- v*wm'1 r\trriiiil Ut iIh- Hlii-alt). Tlw 
iKi'dli' is \m.*mt\ rmm without iiinnnl, <»n' Iwiii); liiki-n In 
nvoid injury <i|' tlm vrin iind iH-rvc. (Kig. ^124.) 




I nnWI utmj ■>"*• Um < 



kpilil diawtlM 



LIOATIOH or IMTKKNAI. CAKOTII) AHTKKV. 427 



LkiATION ttr TUB KXTKUNAI. CAItOTIt* AlrTKIIV. 

fttcintort Cor llti' 1i>^iti<>it nf tlif i-xlcniiil iiinrfHl iirltTV 
i" iiviT thf iiinir *'<inf <•(' tin- ctfrjiiiH-lc-iilii-niii-Iriii imwli- 
rmii) Um* iiiikIi- ul' IIk- jiiw !•■ :i ]H>ii)t ti>rn"<|K>ii']rti); to lti«* 
mril<lltM>rtlK-ltivr<>i() nirlilnj^-, (Kig. .'t-o, fi. I Thi-fliiii, 
p]al_\>iui> Mtil tflltiLir ti«»iK* bciii); <liviik-<l. i)iv t-xU-nuil 
jtiKiiliir V4.^ii IK ilniwri iKidt- wIm-ii fiKijiiiitrrttl : l\w ik-v[> 
fitKtii V-iiig iiitviw)!, iIk' liu-iitl and litiffitiil v<>iii» will In.* 
(.'X|MMvl, whiili "IhhiKI Im- ilniwii m ihk- ■iilc ; ihi- arii-ry in 
noxt i-xjhi-hh! ciivrtx't! hy (Ik- Iiyim^liitsiil m-pvo mtil lln- 
(rtvlii-tivoiil iiml <lipi«tri<- nniwU*. Tltr vi-w-'l xlioiiM 
nt-xl Ik- ixiliiicil iVmii IJm' int<-niiil niMlwl urt'-ry .iiul in- 
h-riinl ji»(iiil«p voin, Imtli "f v\Mi lie iiloii^ il» mit<'p wic, 
T1h> iMHilIf Hlnmlil 1n' |«iMaHl Inun wiiltiHii iiiM-jinl. 



LiiiATioN nr TiiK l.\Ti:iiNAi. <.'aiiutii> Aktkiiv. 

rii). u>. 




UMtflMUbmliiT—^. U«pwl«nanr. «. K(latMlaiiillnunulra(gu<larUf)r. 



428 



LIOATIOH OP AKTBHIIES. 



Ivntion Uie !<ame as fitr the f xtvrnnl tamtKl nnvry ( I'itf. 
'•i'I'>, R); tlif Vfsspl is external to IJh' exiermil fiinilid 
nrl<*ry, hihI in mwin); the nii:'<]|e ttie jMiint h1)ihiI<I In> 
iltH'otetl l'n>n) tlii' iiileriuil jiijrtitur vein, tliul is Iniiii 
williont inwunl. 

IjIUATION f»P TIIK Sri'KHHiK TllYBUlK AinKllV. 

Inrittion niNiiit ihrve iiiHio) in leiiirth alon^ 1)h- uni>-ri<ir 
liortliT tif the .-Ierin»-i'Ieii!t>-Miit-t<>iil initHele, stiirlinn a littlr 
lnwer iluwii timii liuit tor tin- i-xteni:il eanilifl iirleri'. The 
-Iciii, Miiierfieiii) fk-vin, jihttvHuia, wnd cIh-|i fiiM-in Ik-iii^ 
<)ivi(l(Hl, (he tvlhilnr liiwne in t}ie .iiih-tia l>etu'eeii lite (ii>|ht 
inirtion <>r llie liirvnx nm) the (crral veWQlM nf the iteek 
I.I bniken n|> with the tlireetor ond ttte veivvl is exiHisevl. 
T1h> tniiile nJioiiIil !>«■ )j«issec] iimtind the veewl fpiiii almvi- 
tlnwnwnnl. 



LldATUIN OP TItK I.I.NOI^AI. AKTKnV, 

Ineiisimt ii enrv<^4l him- tw'> iiiHit^ Ion);, itf nmmvity 
(lireeletl ii|>wtinl fmni t)»e iinlerior Htip' iit' ihf wlerni*- 

elei<l<>-nuLi1<iiil iniiwle 
'^" '•* hiiir iin iiieti nitovc 

ihi- im-iil horn uf tlii* 
hyoid lione. ton |Kiiiii 
iHie ttieli sliiirl of Uiv 
in«<linn lim> i>t* tint 
mtk. (Fiif. S2ft. ^.1 
Diviile tlw r-kin hihI 
|>hilysniii, ilis|ihiei»K 
the sii|H'rfieiii] veins 
luid ii|N'n the di'i'|i 
fiisein, uheii tlie sidr- 
iiinxilUrv ttlaml will 
In- exiMiH-^t; ihlp' Ls 
di'iihiMil ii|i»jinlwilli 
ihi-liitndh'or(lir'knif«> 
lint) the litMlon nl'tlM-ilittlinlrii- miiM-lealtnelu^l to iIh- hyiHil 




IMUIawnr tht llatHol ■n«i7. il>s*»-«.l 



ife 



LIGATION or TUK TKUl-ORAL ARTKKY. -129 

bonv, nn<] lh« liynn^ltMMH) iitrve Mill In> ex|iO!«Yl ; nrxt 
ilivicli- the lihrti^ot tholivri;;liip.oiis iniM'lc mi(!wavlM'iwi><'ii 
iht' hv{H>)cl<ieMal iMTvt' iiikI iln' h_vi>i<i Ihhu-, anil tln' liii)£iinl 
artery will l»e exiM>w<t. (Kijr, li'Iti.) 

Till- W4>(lle Mlmiild \» |Kiiw«l amiiitd lh«- vtt^iA fntin 
aUrti' dotviiwanl in ortlor to ai'nitl thi' iwrii*. 



lilOATION OK TIIK Kac^IAI, AltTKKY. 

Tl)<> tiu'iiil artery ihi»m« hvit tin- iiiflTior itiuxilb jiiM 
ill frttnl of Ihv nnlenor ti*\ff- of (Ik- initi«r*i-liT niiiiu-lf aiirl 
io iiiiiini|i(iiuii) l)y tlic fiu'iu) Vt-lll, wliinh li<« limn-r lu thu 

lIIIIM.'Ic. 

InrurioH vtlhi-f n huri/iiiilal iim- tiloiij; rhi- liivn-r iHiiilvr 
■if thf iiinxillii or » vt-rtioil one iiti iiivli in I'-nctli. ( Ki^;. 
'■i'2'>, E.) The tUtin, Mu)Mtitiin(<c>iift liww, mkI Iiim-ui U-iiif; 
(liviiliil, tlu> artm' if f)!)KM«l inid iIh- tKt-clk- hIkxiM m 
]inMW(l iimiiDtl tlic riVM-l awity t'nirii lli<- voiii. 

LtdATlUN OK TIIK Oifll'ITAL v\llTKItY. 

IiKuion (w(> iiir-hrit in IpnfE;lli,»tHrtin(c from a |ioint half 
mi iiM")! Ix-low iinil in front of tin* apex of the numloid 
jinoi-^ i-iirrii-il oldiimcly ItiH-kvi'iird junilU-l to iIm* Imnli-r 
of tlii^ i)nH'«^. (l-ig. ■'(:!'>. <'.) IHvidi- llit nkin and 
fitM'ta andfXiKK^- tin- iiiK-rltonorihi- sicmo-«'li-Hlo-iiiftHtoi<! 
niii-M'li-, »lm-li is iilw> diviiltil, and tin- a)ioii4>tir>Hts of llw 
s|drniui4 is t'X|>iiLHi<il ; tliiri \t* ulr-t oiM-noI and tJii- div::iHlrii' 
icniovr IN felt for. and M'lifn llii- U'lly of the diftii^trM- 
niiiM-l<- iii i'X|KiMtl i1h- artcrv i» liniiiglil into vU'Vf liy 
Hc|i»nil!nt: lliv ii'lltitar tiNMic in the anterior aiigl<- of tlw 
wonml witli u dii-n-for. ( Kijf. .'tl!T.) 



Lkiation *nr TUK Tkuiiiiiai. Aiitkhv. 



I 

^^^ /nnnon n tntncvrrw- o«i*, one inrh in Icni^li, "tnrting 

f fnmi llw tn^^l•' of tlir mr lorwunl ovtr iIm- xy;>oiiuiti(- 

I itn-ii ( ri^. li'i'l. />), or a vi-rtii«l one of ihv >«imi- Irn^li ii 

L litllt- ill fnint of lilt- ini^iin of ilic tur. 

^^ ltt< 



490 



LIOATION or ARTKRIKS. 



Div'iili' the xkiii uml ex|MiM- lh(- tuiltnitniteotiN Cflliiliir 
tiwiir, wliii-li ill tliif nc^Iiiii bi vm' (Ipdm' iind lilinuin. Thw 
tiiwiH' kIkhiIiI Ik: Uroki-ii up witli a flijT»-(iii- hikI liw' iir1<-rv 
F>lioul<) Im' fiiiinc) in it alMiit » iiuurtrr of nn iiiHi in fnm'i 
tit till- («■'. (Fiff- '{'is.) Th« U-ni|M>ml vvin iHt»m|«ni4M 

riu. CI. 





IJoltxii or <■■« «M4|ril»l •itotT' 
(BkhY.) 



I9iur-J 



titi- iirtcrv awl Vnit nciin'r lit th*' var, aiifl In wmic <im'k tlir 
iiiirii'tilii-icniiHiml niTW !■ in cIomf n-liitioii to tin- iirta-ry, 
TIk> mtilUt xltiMild Im- iHLiMtt rn>iii Im-Iiiim) I'nnvnnl. 



IjiiATtoN or Til K Axii.i.Airv AriTmv. 

'IIh- uxillnn arh-ry i-xU-ikIh fmm the iniil<Mi> iif lh«' 
I'ltivii'lv hi tlif- iiiAiTtion <>f' the trirs nuijor into lliv 
[iillitiTiiF' ; till- iixtltiirv vein li<-N i||niii i)m' intMT miU- nnti in 
fnml nf tin? artm. Th»- axillun' urtiTV id lt«I Mllwr in 
it)( n|i|HT (Hirtioii, \nM Ik-Iow llti- i-ljivirlc, or at >!» Iowit 
|N>r(i<>n in iIm- nxilfii. 

IJ^itm Iff Ikf Ariilary Ariri-y Moir Iht {iat-ii^. 

/iMwrioN ftMT iiM'fti'M in l<iii:t)i fnim t)n< tiiinimit nf llii< 
cvirniiit'l )ipm:*< iiiwiinl a "liort iliHtnnii- Mow lln' I'lnvidt- 
(Kig. •tl!l), K), iir lui iiu'tHHui llini' im-Um in l<-ti|;lli, iihu- 




LIGATION OP TUB AXILLABV ARTERY. 431 

nH-iu<ttitr III II |M>irit iiiH-liair iiii iw-It from lliv )<t<-riii>- 
clnvimiiir iirliiiiliitioii unil (iirriul (>1i)u(it(-h' tlouiiuiinl 
tuwiinl IIk- axillii. 

Till' wkiii jukI siilH'iitiiitiim" liw-tK- linviii)r Infii <)ivii)f«l 
lite tb-i']! fit6i-ia If fX|Bwil luiil ii|»i-twil. nr tin- iixillarv 
iirlfTv may \m- iviw-luti liy |i>l)i>»iii^ ihr inli-rmiiH-nhir 
fi|KiiT' Ih'Iwii'ii llii- olcniiil Hitil flnvinilar AUnv >tf iIm' iki-- 
tonilif ntiijnr wlii<-h It-iuli* ii|iuiinl iimiiitl ihv rlnvii'li- tincl 
to thv jMTliinili" mtiinr; "r tin- filin> nf tin- iH-ctonilin 
limjor tn-ili); vximix-iI iin- cut ittnxifiU hikI lite iiHlo-ninuiHi) 
liuuHa U iN-xi Uini lltn>n|H> witli ii inn-i'tiir. i-nn- In-iiifj 
liik<-ii l<i iivi.iil injury iif tin- ivi>Ii(iIh- vciii a\ t\w imlfr 
]Minii>ii 111' iIk- miiuikI ; tlti' iKi'tiinitiK iiuiinr U iinw mvii, 
iiik] iiIUt w'lutniliii)! tin* ivltiilur lii«<iic with ii tlinitor tbv 
iixillary vmh U nwn tTnt^ilii^ fn«n tlw »p]^-r wip' of tW 
tniiwli' to llic c'lnviolr: tli<> vein uIdkwi iimiiilctt-lv ti'vvri 



iJic iihiTV. wliirli u fX|H)M-«) Itv ilniwini' the v 



11(11 



1I<- 



k-L'lll IIIWII 



r]. 



\6 



oulwan). 



[NiaMtl H run 111 I thv iirlt-rv fnim within 



lAgaHoH n/thr AzilUtrtf Arinry t»i (hf AriHa. 

Incmon I wo uimI ii half itK'tiif Idii^. "(urtMl iit (htMi]i|ifr 
}inrt 4if the nxilln iind rnrmtl ilnwn ihv arui lit tlir iil^' ut 
the iMmiii-liRii-litiiliw miiffli'. (Kig. 'fill, A.) T)m> nkiii 

rtu-tM. 



A. tDtUimlaiatllUn'utnylauilllft. ft. IndalMi (or bMrbW wwr 

<9tDMD]l.l 



432 



LIOATION or ARTKRIKS. 



onlv !>• (tividitl in lh<- lii»t inciiiii*ii iukI llii- it<r|i fnwia it* 
|>i<-Ki'<l ii|i uiid (liviilttl ii|Hiii II ilmfiiir, iim) tt«- lilimt itf 
iIh- tnitiT ImiiiKt of iIh' <Hmuii-i(iin-hiHliit i»u<<4-lc nn- vx~ 
IMiMil iiii<l Iti-ld imUiv liy ii ninHior, hihI tlir n)M'nilor will 
M.V Uh* iiif<liiiii m-rvc, tlio miiNc-iilii-c-iitiincHiiii iN-n'c, am) 
tli(> Mxillary iin<Tv. To tin- inmrr nuU- of ilic uncry an- 




RdtUuiH ol flitM »II>*rr ^nerr In »lllk. (SuiiaaLi 

Uip ■xtlWy vtiii, iilitiir ami iiitt-nml (■iib>ii«iiim iirrvi-w, 
Til"' mf«ll<' nlxMild W |«u*«^( nn>iii)il lln- «rU*ry fnm% ihe 
\nn (tmiinl llic ii)n(n>-lirn<'hiiiliH miiHi-lr. 



IjIoatiiim or TiiK Hkai-iii.\i. Aictkkv. 

Ittriitton III flir miildli' of tliorii'iii tlircf inclti^ )oitp itii R 
litH' fi>mii|ii>ii<liiii; III till- inner iilp' of iIh- l>iiv]i> iiinwl^-, 
( riu. ;I2!I, H.) Tm- nkiii miiiI <vlliilnr liwiif Ix-iiit; diviik*), 
nin< Ix-iiij; (itk<-ii ii<H In iiijiin- rhr Uixiltc vriii, nliit-li 
hIkhiIi) )■■ (Iniwti iHwtcriorlv, the r|<i-|i faw'in in (m'xI ml 
tlir>>iiuli iiti'l titt' riKr<i> of till' hitviw iiiii>«-]'' nn' i-](ibih><1 
( KidE. :i''tl ) ; lilt- kIiimiIiI In' dntwii loruiinl, iiml llic sliralli 



LIOATIOK OF THB BRAcniAl. ABTKRY. 433 

lit' till- vuMW'b fO<'tij^ii|/; Uic- artt'ry, vnnft, uikI intiliiiii 
nvrvv !(■ fSjtHwd ; tliin w o[n.-ih'4I, iIh- mr<liiui m-ni^ 'i» 
\im*<-^\ n»(li- iiii«l llic- iirlm' ii' M-|niniUil from itt Vfini> 

no. w. 




lUlaIMM >< lifhl iHwhIat uWrr ■( ntUaia or •rm, (IMUMni.i 

iiiul the iintUi- U |iaiMr«l f'mnt tlw Huivorthc ovrvf iinitiiKl 

In lifting tlir Itnu-hinl urliTV IIk* tDtniniiiiuil Iti^ti 
(liviituni iif tli4> viocK-'l iiiiiHt In* tmniv in mind. 



r».m. 

fill li/f^ 




lilplloB tl Uw *»»tM«l trlotT 1 1w< uf ^IHK. ikRttn.i 



484 



LIQATIOK or AHTBBtXS. 



IJgalion of Bntchiid Artery at Bt^d of ^Kme, 

tne'mim lw<» \w\\» m li-n^lt, aJonR Um- inner Umli-r »( 
till- Ifiwloii of thf biifiM iiniHrl*'. Pividt- tltP Alia, r<lllirr' 
fictiil Istv-in, ami ihf Wipilal a|>i>iH-iir«sis iii»li-r wliirb 
IIm* urUrn- will In- i-x[m>«-(), n-r^tinj; iitxMi thr bnu-liinlim 
Kitliiii*' niiiM-li.-. ( l''i|f ' -t^t'J-) TIk- ntitliaii imtvi' is to llii* 
inm-r knIi- aixl m»iii' ili<'tumi' I'imiii llK-arUTv. T)h> tM-<il|r 
kIkmiIiI U- |uixMfl ur>>iit>il tliv vcvnel, nfltr imlaliiitt tin- 
Vfinit, fntiii Killiiii uiitwmtl. 



LitiATiox nr -niK Kadi.m. AinKKv. 

TIh- nuliul iirtcrA- I'xiriKli in n Klniffht line fniui ii |H>iut 
lialfM) itH-li Im'Ioh' tlx- ivtitri' of ilic told of l)i<- <-IIn>w Ui 
thf* iant^r r»Av of lli<- ^-rylnid [)nHi'i«i of rhr mdiii». 

TIk- nuliit) iirtiTv iimv )■- lii«t iir it» ii|>]nt, iuiddl<\ nr 
lowrr itiini, •>r iit tin- nH>t ofllK- rliiiii>l>. 



IJ'jalloH of the Rmfuit Arfrrtf In thf Vffyrr TAinl qf tht 
Fortarm. 

hxcUion for llic fwlud arlm- nt itH ii|>|nt tlitnl \f< two 
iiik) n half iTM-lH-H in li-ii);t)i on n lim- drawn from tlic 
niiddli- of llii- U'lid of till- i-IImiw In tlw nlnar side of iIh' 
styliud (irottt* of iIm- nw)iu»; tin- tDmion sbouli) U-^in 
oni' nnd n Indf ii)i'li<.« lielow tin- Iwrnd of lh<- oIImiw, ( t ig. 
'XV.\, A.) hividi- till' T'kiii imd tin))iTlii-iid f:iM-iii, svoitlinu 
tlir Mi|H-rli'-!al vi-iiiii. Whi-ii iho di>('|» Ih^'iii if i'xjhihm 
find (III- iilift- of tlif Hi)|tiiintor )iiri)^i<^ niiiN-li' and diviilf 
tltt- ii)H>iii'ii remix iilunt; iln uliiiir »i()r und i'S{NiN- llic Hlinti 
of till- itninnliir nidii U-rt* niiiM'Ir. 'I'lu* vckm-I lies in tliv 
inli.-r«|iiirr U-tw'i-<'n thi-Hr innM-lii> Hiimiiindti) liy tidi|M)M> 
liivtH-, uitd tii->n lit-in); rxiMi-utl itn- vein* nlxxdil Ih' ituilndil 
mid llx- txiOl'- iKKHtl fnini Milliotir inwnnl. Tlir nwlinl 
nvrvf liiw Ml liir ■•x(i-nud to ihi' itrtm- ilmi It in not otU-n 
itx|KMml ill iJh' ii|it!nilJun. [I'ig. Xtl.) 



LIOATIOK or TIIB RAI>IAI. ARTBRY. 436 
PM.ML fn. KM. 





NoUUiinii ut ntlix nHlMl »nMj in 
(lie u|>pn ihinl al Uw hinuiii 
IbMAiiai.) 



riu. Ml 



Unvofliwlmilbr-J. IMUaiUn 
In upint thtm. X. RwtUI uWrr In 
lowM UilnL C. tiau ■rUff Ik UffM 
mini. A ITlMrarwry lalowMlliM 
iSnBOM.I 




Rdtflinit iif tl(ki ndtai anBrr Abo**] 



fjgatim of the Radmt AHrry in the MUldU ninl of the 
Forrann. 

IneUitm lwi> in('hn> in l4-ii)irlJi. rdlliiwiiifr tlx' miiiih' Uim* 
UK (Ititl r>ir (lie ii|iiH'r lltifl of ihi- iirtiTV. Afirr iliviiliii^ 
llh' "kill, Kii|H'rtii-tnl iiii<l iltv]) Inm-iii, i)ii- ar|i-ry U fniind 
in tin- idU<rN{«ra- U-twi-tii Uii* (li-xnr rnqji nulialU <iu tlin 



486 



MOATIOX or ARTKRIBS. 



innvr pi<)c aiNl Iht- 8ii]iiiuitur Ioiirim un |Ikm»uIit sidi* ; llii' 
niHiiil niTve nt thii^ )Mrl of Iht- nriii i» in (-Iihm- rrlatiuh 
wilti the vvctfd-l to t Ik- nulla I !^i<If, mid ttiv itit'illi- t^linnlil 
1h- |Bi«M'4l nnifiiHl till- iirti-rt' fiuin Hiltioiit itiManl. 

lAgtition <</" (A< Radin! Arlerif in the JjOtrer TTtirtf of thr 
Fortitrm. 

lueimon two iudwn in )i-ii)i:th lollriwin)c tlifNiim- line 
(Vig,. :i'Xi, B), vadiag mw iiidt above ih* wrUt. Tlii- skin, 
KUiK-rHml ra»Ha,fiiiJ deep la«-ui lirinp tlividwl, tlii- nrtvry 
wUl lie fiiiind lirlwcoii tJie IcikIoii of the flrxor imrjii 
nuliiilio on the inner Midr .and the (emlon nf tin- t^ngiiiinlitr 
liinjniH nn the oiiltr xtfh-. (V"if. •(•'t't.) Thi' wins Ih-hi;; 
iH-i«rBlul tite u<wlle may be pasei^d in eit)M>r ilin<cci<in. 

Ligation <if the limii/il Ariay at tht Root of the Thu\ 

11)e nidial iirlcry may aim lie t\v*i nt lltr nmt uf \Xw 
tliiiinli. 

bxtmmi niM' ineh in liittfih Ih-Iwcoii tlic Ii-ihIihia nf \Xw 
■■xlen-«iir inv^ipi ni<-ini7ir|>i |Hil1tcL« ami ixtiiiMir prim! int^T- 
iMMlii |uil|ii-i;> nil llie iiiiliT '•ide. iiml llie ti-iidoii •><' the tix- 
t(-nw>r Mi-iin<li iiili'nuHlii |><>lli<'i<i on the intti-r fide 'Utir 
nkin mid Miiwrtii-ial la-<-iii \v'\n^ dividitl iiikI tin- niilinl 
%-pin ln-tnif tli>i|>lniii'<l, the dii-ji fitM'ia \* u\vm-*\ mm\ llic 
artery t^ <-x|i>>»nl at the Ixilloin nC thp wound J llie nttolk' 
nuiy U- jitiFvfd in (■i(h*-r<lir<'«*lion. 




Lkmtion- itv TiiK Ulnak Artciiv. 



Tli>- ulnar nrli-ry it* tiiil nt the Ji 
MmI iiitildli' Ihin) <>r the loreiinii ami 



iiK-lion of th 
at tile lower ihin 



„,.,. 



Ligation of Ihf flnar Artery at Ihr. Juneiion of Iht Upptr 
ami Mithltr Ttiifd» nf the Forearm. 

Inri/tion ihrri' inelicA in U-iiKlh, Mnrtini; fixir inelnv 
lielott' the inlerital (iindyh- of the hniiiirns on H 
INvwiiiK (nun the internal nmdyle of the liuniema !• 





LrOATIOK OP THE DbNAB ARTKRV. 



437 



ixitvr Imnlor »f tliu)iiMr<>nii Ixmv. ( Fig. :i:):t, C) Divide 
tlx* xkiti atiil Hiim-rfirifil tiiM-iii, utiil wFk'Ii the di'^'j) fsfc'in 
lirtj' Ih^'h cJiix^O iIm- iiil<-i>j|«i"i- U-iwwn thf fl^'xor <«r|ii 
tilimriK un<l iIk- tk-\'>r fiilTlinuK <)i)!i(>>riini aiiiM^irx. cnU-r 
lliid iiiUTs[)ui'v lutd niifc (Ik- Hcxur MiblimU <lit:iti}nim ui>d 
work trai>»V(-racl_v Nrniiw the iinu, awl tin* urt4-rk' will he 
toiiiH) n^liii); ii|M>ii {hv tlirp (k-\or, uith the iiliiur m-rvi- 
to the iiliinr *uU: The tKi'ilIc chiiiiM i>v \)asnLtl from tliL' 
iK-rvc uitMUKl tin- iirti.T_v. (Kij*. ;i;t6.) 




nn.)M. 



^^f /ncuiim twii in<-lwH in Ivn^rlh 

II liitli' rii ihr niilttil nidi- orrhi- 
Intiloii 1)1' till- llrxnr <nr]ti ill- 
luiric, w'liii-h is nltai-hiil Ui 
ihi- |>inifiinti Ih>iii', iitdiiiic mi 
iiirli uImivi- till' wruiL (Kiif. 
%t:t. A) I>ivi<lf iho ^kin nml 
Mii|M'rti<-iiil fw-'iii iiikI o[>rn ih>- 
d^'ji liuM-in, mid rhi- iirta-rv will 
l>t-(-x)aiM'<), with (u«i nil |Ktu villi; 
vi'iiiH, iK-twifii OiP IciidtriiH of 



ll«tolUn*of lk*>l|Ma*Mr*r<arT*lun*tililr<laf IbRarto iftmikm.) 

Lii/iition of tiu tVwor Artert/ in Ike Ijowr Tfurd of Uu 
Forearm. 

rM.ao. 




I 'Dillllll-ILI 



438 



LtOATIOM or AKTKRIKS. 



Ihv llrxor rari>i iiliuirtN iiii<l fli'xor MulilimtM <)iglt»nint, Uiv 
iiliiiir nvrvf Itriug lo iIk- iiliiiir *ii*' "f tlw' v<i*w). I^h* 
ixtillr slioitid Im- |um«v1 frcini witliiit miiwunl to nt'nid 

tllr MITVV. {\'"ne. Xil.) 

IjCJATMtX <iP TtIK IxTKIWJWKiH'S AlffKHV. 

InciMon siniiliir to tlinl c-nii)luvtt| in thv lignliiiii ol' ihr 
uliuir niicrv in its ii|)|icr titini, 

I.IIIATION IIP THK AlllHtUI.NAI. Al^lITA. 

Sneinan in llii' liiira nllm from » (Hitnl thr*-f ini-lifM 
uImivi' ilti' iiinliili<-tin t>> » iK>iiil lltri-t- iiu-In-s Llow il. Tin- 
KiiiMTlicbil -tnn'tiiii-^ l"-iiii[ (liviiicil tin- |H'nli>n<-iilii w 
o|tri)ix| ti|><M> n ilinvtor, suhI iIk- inht^im-H iin- jm-.-^i^l iLxitlt- 
and llic imrln \* t-xyy-'^^X «iivi'l>il liv ]><-rt(iitii-iiin, willi tin- 
filHmciii.i of iIh- .1 VIII |Kitl)( -lie iutv<- n-vlin^ iiNtu it, hihI 
llic vi'im nivti t" till- rijriil AtV: Tiitr (lir>>iii:li llii- iirri- 
(41111-11111 aikI |Mf«H (III- i)ii'<IIi- Iron) Ift) in ri):!)! antiiiui thi> 

VCHM'I. AlW Ivillt! ()■(■ ItiTtdll-c tllf rluM flKHllll In- flit 

Hhoii, niul (he fxh-niiil hoiiihI hIiuuIi] lie cluwd a& in tliv 
onliiuirv ivelintoniy wuiind. 

TItf v*<HM>l iiiiiv also Ik- rspooni Ky ■» iiMriiaon Rlnnic thv 
mili-rior lH>nli-r nf tKc i|iifl()raliis Iiinilxinini iiiiiM-lr*, rnmi 
llir L-wi rill til (In- (THsi "if the ilium. The ckiii, liiRit«r 
iniixrlfA, ami fnM-iii tmnsviTHulih Winj; ttivitliil, the ivoiniil 
\« hi-lit ojHit tvidi hluiit iiiMihti, •ui thijil tilt' ivtr<^)ii-ri(i>t)<nl 
H|miv in i'\|HiM<il timl llic fliirtii liritn^Iil into vii-w. Tlif 
WvtuA lM>in); Ki'|inmti-<1 fmni t)M> wna i-jvii mid iii-rviw, iIh* 
whIIi- is lauMil urtiiind Jl iiiitl the li]:a|iin- ii|i(>liiil. 



l.diATtOX OP TIIK CoUMOX lUAO AlITKitY. 

Tltr- iiortN iliviilr* iii(<i (In- tnu (iinimnti ilW nrtcrin* lUi 
lh«- li-l\ oidi' or t)i<' li'iirtti liiinlHir viTd'lira, tiii'l l)M«r 
iiTl4>ri<>* iiD' iiMuilly iiImkk Iwo ii)<-)ti-H in l<-nt:tli, mid 
hiltintili' <ii)]ii>Hili' till' K(i<-rii-itiiit- Hrm-lioiiilniMin In limit 
(lie iiiti-niiil nml ■'Xd'riuil ilim- iirlfrit^ ; the lt>ti){tli "I' IIh* 




LIOATION or UOMIION ILIAC ARTKRV. 431* 

I'ditifiioii iliiM> arliTv, liowvvcr, niav vnn* ronsitlcnLbly, 
U'iiii; Ihnx- nr Rmr imhw* iu l«n)ith in !*>Die caws. 

/niTMtoN fiir ligation "f llic ntiiiiDoit iliac arterv U rmir 
III six ii>cl)i<s in li^njclli, bcffinnin); nn4>-h»lf iwh »Ikiv<' |)m* 
luiildlf of PoiijKirl'H li)canu-iit, and is (iirrittl tiiitMnnl, 
curvinc ii|iwiinl -after \la!*■m^c the anli-rior Miiwrior H|»im- 
yf iWilimii. (Kin. :t:W, A.) 

Divide till' skin, tiu|»erfiHiiI litM-ia and a|ionHin)Ms of 
Iht- fxtt'nial oUliiiiH- muscle, aiid tht-n divkU' tlic filtriT »»f 
tlio intrrnal oblMjno and trunsvciNnlix iiuiM-lLTi iiixin » 
ilmvtnr ami fx]M»f iht- truauvvmiliti (iiscia. Tiiie 



10 



rw-m. 




CtnnomtwMfr Inftariti'iitrMiiilo. ittiH>iiM.i 

ii|)fn'-<l ui till- lom-r |Nirf of the wmind, and th4> fingfr i» 
inlrndiKi'd aiMt llu- |)rril<>n<'ilhi in pfrw«-H Int'k ; (Id' njMii- 
iiiC ill till' IninMVi-n^liH fitM-ia m iii-xt i-iilni>!<il. iiixl the 
|nTt(oiii'itiii in tiin-riiiiy (Irawn innnnl nnil njiMitn) Mitli 
llic liiiiriTH liiwnr<l till- iiinvr itlp- of th«- wotiihl. TIk- 
■•|HTnt<>r iH-xi I<i-Im lor tin- I'XiiTiml ilirn- iirlcrv, unil |KL<Mf> 



LIOATtOK or ABTKRIRS. 

eer along this until tJie mmoioD iluu- arterv- i» 

w. Till' t'HHK.' cellular lu«»ie ill whidl it in imiH-nfli^l 

t w[jarBlcil, ami ilie iK«dle in [>hs»<I from tiithiii 

-td, tuuvuid the cam mull iliac vein (Fig. -t^)!)), whi<*h 

Itft side lies on die innor side of tJie artery, ami 

H right ftidf lire Miind the arterj*. The tirvtcT 

t.dlly rcniuin.'' atta<-hi'<l to the ]>eriti>netiiu ; if not. it is 

4 i-ruwiii^ till' birnR'ation of (he i-ummun iliac untb tlie 

FtB.au. 




LlgHtJoii 'if Ihi; cttnimon IIIH4' jtriery. (I.i«tipN.) 



jI('iiit<»-iTiinil iiiTvr, and rare slmiild Ik.' talo'ii to avoiil 
iiijiirv iii' tlu'M' striictiiri's it' pri'sciit. 

Tlu' rciiiiiiiiin iliai' artcrv may alsi> Iw ('X]ms<'<l and tied 
liyan itiiisinn made nvtr tlic iirlcry thninjrli tlic [K-riUmt^l 
(■uvily ; the vi-sscl U-intr tied, tin- ends of the lipitnre are 
cut Mhort, and the cxtinial \viinint is i-!iisc<l in the same 
niatiiicr iis tliat n-snltirin t'rum the rx]>iisLire of the ah- 
dmninat aiirta liy iricisinn (liniii^li the |HTlti>nenin. 



LIOATIOH or BXTERNAL ILIAO ARTERT. 44) 

LicATios OK TiiK ^^(T^:ItSAI. Iliac Aiitkuv. 

Ineiaion in tW mnte liDf att tnr tli« 4'uniDinn ilinr- nnm', 
but it lint] iKit tie (|iiil<' tvi lonfr. (Fijr, :t»S, A.) Tlir (mt!- 
tiiiteiirn tN-in^ i'\|MiM<a), it i* itimlml ii|»vanl mid inwiml, 
hikI llie inlcnml iliac nrtcrv i«<'X[iimHl. Tin- vii**'! i^nirv- 
fiillv i.»>laii'<l fi-orn tin- vein, uliii-li lies iM-hiiul tiiiil on i)ii< 
inner hiile, aui) llie itii-<llf U jKL-v^tl rnim nitliiii utitwiint. 



LlUATIoS *»• TIIK KXTKHXAI. Il.IAt.' AllTICRY. 

IitrUioH rliret- or foiir itielM-r' !ii leii);lli, liiilf iiii inrli 
iiUivv llie iiii(!<llei>(' I'oiijuinV li^»mei)(, tiuulc til finil LMir- 
iillel III tl anil llim etirv>il uimiiitl. (Kik- ■W'*. B-) Tlw 
timUM of til*- alxluiiiiiiiil wall Ix-ing iliviitttl ami 11h' |H-ri- 




b>iH>iuii ex]K>!H<cl, it \» pimhtM) iiiiwanl nnd inn-aitl in the 
iBUnr inmiitiT Ht> for e^|iiuinr<- nf Ilie cominion ilioi- arltTy. 
The nrterv lii-s at tin- inner Uinlrr of llie [NiOKH iniiAcIf, 
the vein on iln inner viile, iiik) the aiiN-rior i-ninil in-rve 



442 



LtOATIOK or AKTKRIKK. 



nti-iintl t>>- the iliiu- fiux-in on Uw nuutr mAv ; tbv ^ititiw 
ppiiml iirrvv MMM^ nbliinicIvucTmsf lln-ttr1m*. (Kik- ^JM).) 



LlllATlim or THK (iLlTTKAl. AmtKUV. 

/niitnioN tlinN' <ir four in<-lK-!i in li-ii^lli, rmiii ih*- (mclrriur 
»it|icrior ^pinoiiH juvHi-Mi M' tlic iliiiin In u |>>iint mi<Iu*n}' 
Ixitu'M-M till- LiiWr is<'titi and ilii' ^n-iil IriK-liinitcr. (Fif;. 
•Ml, A.) Aiier divitium of (lie *it'in nnd RLm-ia, titp ftbn'h 

na.Hi. 




Unr In-A. rI«i»I «nvrr. I». i^ M amt IMhmI ihhUi «<I«it. 

of iIk' Kliilcnx iiuixinino nuiMclr iin' mimniti^l nml MA 
ngian, un<I the (W)) fiiM'tii i» dividol, unl tin- unrrv in 
MMtt;lil fur iilhtvc (h«- itynfnntiiN mitM'lc at t)M> H|»]mt Ituitlrr 
•if tin* Krt'al MUTiMii-iiitic »<ii<-h. ll to tiiii>m|iiiiii«'d by 
laiyi- vi'int", uijun' In whii-li filionlij In- iivii!i)i-c| in cx{Hi(iiiiK 
tin' urti-n- aim iHLHxtiik! ll)f nrvtllf. 




MOATION UF TRK PKHORAL ARTKRY. 443 
I^IUATION OK TIIK SclATIf AXli I.NTKUNAI. Pl'DIO 

Artkimix 

/m-jWoN llirt« or four iiiHie^i in leu^lli. a tittlt> Inwir 
ttiim liiat enijilrtVMl fiir exjMWDrr uf iIm" gluteal artprv. 
(Fi|{< -(41, It.) Pivitlo tltp skin, siiiierticial foM-in and 
li))n« of llw i^liiU'ii!' lua^iniuA miittoli' ami divji fa^-i:i, ami 
w»n4i for tlw vessels a^ llii-v li^avi' the ^ri-al wialic iioU'h 
111 iIh? lowpredjrc of ihe pynfnrniii^ luiiwit-. Tlie !ii(«Tlial 
|>ii(lii- arU'ry friiters tite pelvit* Uimii^i iJie lesser Hciatic 
notHi, lying ou th« inner Me of t)i« ttciiuie arten- during 
ite pOJwagv over tlie ituine of ihe i.'^hitiBi. TIm- vtascls are- 
tM)liitHl and ihv nwdle ii^ |)astv<l mi an to nvoid Jnjiirv of 
tJip veins. 

Ligation ok -rirK Kkmokai. AirrEitv. 

TIh' li-inond nrierk' iiuiy Ik- lij^i^ited just Itelow t'oiipurt's 
lipiiiii'Dl, 111 ilie a\tfx of Siiiqvi'ii triangle, at tlw middle 
of till' llii);li. or iu Hunlt-rV cimiil. 

m.ut 




IUI«milmJ tlm hgtil m il tWfy Iwlim tVw[iMf« IHwiiwit iKwAMH.t 



4-14 



LIOATIOir or ARTKRIBS. 



Lif/ation »f the Frmonil Artery beiou> Pouparft Lig 

Incision Ixyiiinin); tuidwny Wtwirii tlK-iiiitrricir Kii|>arniir 
HpiiuHis nmn^sH nf the iliiiiii iiii<l the ityiiiiiliyHiH jmiIiLs 
1 1 II (^ti til rill of an inch ;i)h>vc l'i>ii]ictrt'H li^niciir, uixl ex- 
tt'iiilin}: tvnt inclK'!! ilownuDnl. I>iviilr tlir *kiii iiiiil 
miiicrtinal fuK-isi and tlictlt^')) lli^-in jhhI ('X|m>:«i- tlic nlniitli 
ol'liie vcwteln; <j|(eii (liis iiiif-liiilt':iii iix-li licl'iw l'riii|mnV 
liniment iiuci itiolax- iIk- li-moral iirliTy t'ntm lltr Irimtrnl 
Vfin which lic« to the irmor ciidi-; ihi'iinlcrinr tninil i)crvi> 
lit's to the (iiittT )<i<le. i'a^ tin- tHi'<lh- Iroiii within imiI- 
wiirtl. (Ki}[. :{4'2.) 

Ligation of the Ffmoral^iiery at the Ajtfr of Scarpa** 



nerv e 



Ttv. 



Inaij'ion tlitw iiK>h<v lon^, till! ftiiln* nf whi<-)i whwiiltl In* 
u litlh- fliMivr lite |K)int whvn' ihr tuirtoritio miiwh' iiymwh 

riu. to. 



UiM «t Uutdaa liH IM 



l1 aflMT. iMtNNtt.) 



a line ilmwii Crxni Uir* itiiiUlh- nf i'diijoirtV li)(Hiiiiiil lit the 
ininT .■..mlylf .il' ill.- fiimir. I Kij;. ^H:!.) I »ivii!«- llif "kin, 
»ii|H'rlii'ial fiwiii wml 'hv]i Ciim-iu, dMiiiliiij: the itilcriml 
Miphfiuiuii vciu, iiml i-x|K>** thi- «ij;<> of the lutrtonu" 
mttMcIf, whii-li nwiy !■■ nniiKriixnl hy ihi- dint-liiiii "f it" 
Blira*. Thi»< niiiM-h- U ilmwii niitwunl iiitd lh<- Kln-nih nf 




LIGATION OF THK rKMORAL AKTKRY. 



tlif vi-MW'lx i* 4-x)H)M<«l niHl (titened ; the vn'm luw on ihp 
iiituT 'U\t- ninl wiiifwha) Ih'IiiwI tlu' nrUTv uikI tlic long 
Mililii-iKHf iirrv4- is III! lliP outer hmU'. (^'K- -H-t-.l 1'""* 
tliv mx<<ni- TmiD witliiu ntitwanl. 

IfMalio» oflJte Femoral Arttru in the StidiUe of the 
Thigh. 

IneiaioH ill tlic \\w> ubuw tii<-nti<>ii<tl, \m* cvnln- Wins a 
litUf abuvc the umldk- ol' tlir tliii;!). Dlvidt! the !)km, 



rH.sM. 



Flu,»«, 




IMMIoM at rtfbt kHom) 
•nuy M ihs »pt( of acu|*'< 




RateUcM of tbe fIfM Ibmml 
■ftwy In thi middit of Um Uil(b. 



8U[K'r(i<-uil uiiil <)n-|> Inwui iumI cxihiw tlic Nirtoriii!) niibM-lo 
H-liK-li is ilntwii iHitwiinl nOt-r Uw le^ hai^ iHt-n Hcxtt) ; 
ihf rJtcalli III' tlic vcvx-l in i-ngHiMctl uml i>|>eitr() ; llii' toii^ 
Hi|>li<'i)<>ti> iMTVi' li>-<^ ii{Hiii tli<- .irlirv iin<l tlic iVnioml vWii 
lii-H iH-liiiiil ilx- iirt4-rv ; iIk- wii'lKii'mti vt-iii lit 



I irib-riiiif li> tlitr vmwl, I'awt the iHttllv (n>l» 



iH-iiilly iin< 

Milhiii iiiilMiinl. (I''i|{. lUri.) 



44ft 



LIGATION' OF ARTBHIBft. 



LifftUiim of the Femoral Arierg in //ninfer'* Qmat. 

JnciMion tlinf im-lin* iii lt-i)i;tli nlon^ iIm' tfiidoii of tlic 
wlilucior Hia^iiu.-, iIh- ii'iiirr ul' wliiirli tf hI Uh* jtiru-tJon uf 
llic lower iiikI iiihIiIIv tliinU of tlit' Uiieli. (Ki)F. !M>1.) 
[>!vi<lc tlic Hkiii, Mipi-rllrinl Ik-viti iiikI <I<v{> ln.-«tiii, nitr 
Ix-iiif; inkt'ii iioi 111 iitjiiiv tlic iiilt'rnal -iiiiilii-iiiiiH win, 
wlii<'li .tlimilil lirill-jiljii'i'^l.jirultxjHw tlic-itrmniiw iiuuM-It-, 
u'liicli ."iKitilil Ih' Hi-<[ila(i-<l iloniiWHi-il iiml i'.\|kiiM- (lie ujmi- 
ii<-iimt<iH w'tii<-li fonii^ ttip uilt-ritir uall nf tlu- \'iidi'iiiiir caii&l ; 
rliiH should Ih- iiiM'iii'd ii|miii u clircttor, and tlit- iirtrn' is 
iitii->>Vfnil and MiiiiiM U- M-|inr»t(-d froni llic v<-Jii, wliicli 
liiii iijioii ilip miier »idc. Tho iimHile h pu-twd fmm M'illi- 
oiil iiiuiinl. 



LiUATiu:4 or Till: Pohmtkai. Aktmev. 




Rttatl«N*«Uail|Mt<iMllni>ut«r)'. imuri^jU 




LIOATIOK or ANTKRIOB TIBIAL ARTKRT. 447 



IncuioH tlirei- or fniir iwiu^ ia lenirth, iiloii^ tbf exU-r- 
nal iMiJor ol' the sa^mi-nx'mliRinoii.'i niiiMcIc. Diviclo ti\c 
skill iiDtl su)H'rlii'i»l la.-^'Ui, takinfc t-an' not to JDJuiv tlio 
Hiplictioii)' veil), anil ii|(cn tlic ilti'i) fiiM-ia. TIip cclgm of 
iho niiitiul Will}!; Iii'ld H|Ktrl ttii' iulipHM- liwiuc int linikoii ii[i 
Willi a tlinvtiir, »n<l tfar inirrnal |Mi|>Iili?aI ncrv'i.* u-ill lie 

no. ST. 




UaaUoa of t«*IIIMI kiterr. tSMin.) 



fimt rX]Hi(Hil, xnil n<wt thv viiiii— Itotli nxti^rntil tn tin- 
nrti-n-. (Fi);. ^ti.) TIh- urtm- Ih itmluti-d mxl ihi- ihi'^IIc 
in |Niw)'<l from willioiit itiKan). (Kl^. ;t-l7.) 



I.IOATIOX OF THE ANTERIOR TiBIAI. ArTKRV. 

1'h<> nntn-ior tiliiul url«-rv tnav U- tin) iit llir ■■{■(•n*, 
nitiMIc, ami lowrr ihinis of the l*y ; iIm" (tviu-ral (lirpciion 
iif ihi- arti-ri' <i)rn'm>otiilf «ilh a lino <lrow'ii from tin- 
ihiildlcof the .-jimiv Itetwren tlie lirad of ihi- lilxila »n<) lite 
liilMn-Ii- of tltr tilita to t)u- middln of ihi.- Hiiii-rior inlrr- 
im>ll<i>)iir ^|Mn-. 

hi<fttlio» Iff the. Anterior Tihiat Artery in the Vpyer Third 
of the Ijtg. 

InetMion two niKl n linlf to tlim- incht* ill l<'il);tli, iHM' 
nini oin--lonrth iiM-lii-» i-xtiTiiiil to the ■jiim- of (In- lihiii. 
hivitli- tlu- 4kiii mid Mi|n-riiiHal tiiM-iu, hiuI U'h(>n tli<> ()i-r|i 




448 LIGATIOK or ARTKREKS. 

fuftria H fxiBxtv) itjH-u il uu a Uih' «fim->(Kiniliu); t<t tlw 
in lent 1 1 iM-i I far niMn- lM-tH-«eii iht- litiinlt' aiiti<-ii-< nml iW 
fSlcuMtr liitii;u» ili|;tl(>nim mu*- 
rm. ■« i-leb. S-jKiratc lh<- imi-'-tn* ami 

wiirk ikmu in tlit» itilrrsiiaiv, ntw) 
the tutUTV will Ih> fiiiiiKl witli a 
vHu lift fiilii-r still- of it, ami titf 
anterior liliiiil m-i^v fxti-rtinllr. 
(Kiy. ^US.) 'IV m'<->n<- .should 
t)« |n#4-(] I'mm witli>nit iiiwani, 
iiiivT iiMilatiuy iIm* vviitM. 

Liffitlion of Iht Atderiar TJbiat 
Ariern at iu MUidU Third. 

IneinoK liinr inrlioi in Irii^tli 
ill till' tuttiii- lint- nn tltai fur iIh* 
iiii[><T [Mirtiiriiol'thcvt-Kwl. Aftrr 
iliviilii)^ i1m- nlciii. t>ii|i(Tfim] nixl 
tl*i-ji tii:ti-in, (In- intt-i>|KUT' U-i«wii 
llir tilii.ili^ tiiiticii^ iind tltc i-Mi-n- 
liiir Inn^ii:' iii);i(i>niin itniM'li* Ik 
oik-iuhI iiml II lliini uiiM'If (iinii« 
hu MN» u lu ■ppw tbM. "< view, tiM- <-xU-iM>r |in>|iniiH \M- 
utnBcoi.) liini*. I'lic artery liirii Im-)w<«-ii tlio 

<-xtcri»'>r |)r>i|iriti> ■xillifti miil llip 
tiltiiilU nnti'iLt niiiw-lc*, iinil tin* unli-rior tiliiiil ncrvi' im Iti 
till- iMili'r AJdr. TIk- vi-inr- .hIioiiIiI Ih' iMilitKil iin«l the 
iH'nllv MkkiIiI \sv juL-Miil fntiii HirliiMii inu-.inl. 

TJ^tUn of Uu AnUrior TStnal Artiry in xtn iMtttr Thinl. 

tncinivn luo iik-Ih^ in 1i-n^li, iM-^inninK llinr ini-lia-H 
uIm'vi' lilt' iiukli'-joiiii i>n llir liw of the iirtiTv. IHvi*U' 
till- Hkin, >ii]H-Hii'iitl mill il*i-|i fiLN-iii, iinil kvU fi>r fin- 
Iriuliiii "f till- i-\(i'npiir |iM|iriiw jNillii'ii' nitifu-lc, il»' M'liinil 
U'mliin frtini titr tiliiu. Titi' iirtf-n' in fouml in the inU-r^ 
it\mn' Mwffn tliix Icmlun unil llic It-oilon uf Uir t-xti^wtr 
l<>ut;iii> iji^liinini muM'lt-, |Im> m-rvi- U-in); in tlio oiiIit 



UWCMi or the uiUriw lib- 



f 

I Hidv. flic vviiii' wrv iwtliilK) fmiii the iirtcni', iind Uie 

I nifdlt' Ik [uvm-*\ fmiii uithoiil iiiwiml. 

ji 



I.I0AT1OK OF DORSALta PKDrS ARTKRY. 449 



LlOATlnS or TIIK DoiWAl.18 PF.nix Ahtkkv. 



fncwion (Hii' in<-h in lcii};;tl) on a line ilmwii from llw 
jiii<Iiltc of tilt' iinriTior iiiU-r-mailiMlnr .^\iacf t>> w {x/tiit 
itiitluuv iK'twnrii lli<' fxtn'iiiitie--i<)f tliclir^I two m<-1at:ir^l 
lHiiit*i iir iilmig llie oiilfr lH>rrl<T nf the trmlon i>t' lh<> ex- 
ti'U^>r |)n>[mii)i iKtllici.4, l>ivtrl<- ilit> ^kiii, supt-rfifial And 

ri>.. MK 







fyfrnrtr 



Uvulun iiT tto iluimlli iwln MIMT. IHliiAMT,) 



il<v|) fiiM-iii, iind th*- artm* will U- rmin*) Wme itrxl tii 
thf iii»i-r ii-ihIoii cif till' -(kii-i I'xtniMir tiiiiwlf iif tlio 
HH't. (Kin- 'M9.) Till- iMTVi- io 111 tlir oiiitT "Hh', AlW 
M'|i»niliii]£ iIh' vciiw lhi> ncitilr in \a\nM-A fhmi williout 

itlWHKl. 



480 



LIOATION ur AHTRRIB8. 



liltlATIOK OF THE PoKTF.HlKK TiKIAI. AhTKKY. 

Tliv miirM- of tile |>i)»<tprMir liliiiil iirt4>rv in iiultiitti-i] Ity 
n liiK- tlniwii ("null the iuhMIc nf iho i><>|ilii<-al .*]iiiii- tii ii 

jmiiii uiicluav U-tMi'i-n the 
*■'""* Icodo AHiilliit »ml iW in- 

tomiit malUitliii* of (In- liliiii. 
Tlic jcwtrrior tiliiiil iiriiTv 
may Im- lt^»li-(l tti iti^ ti|i|>rr, 
iiiid<)l<-, iimi loutT thinli«. 

/.if/titiou oftht Pontrrior Tihht 

/iioHtiofi llini' iiM-lH-H iin«l n 
liiiir in li-ii)r<li, ••iii-)t:iir irii-li 

IW)!!) l)l<' tll(l4-r tllgl' l)f llu' 

tiliin. )Hyii)iiiii)f two iitrlii> 
rniiii till' il{i|M-r itl^ iif tli<- 
tiltin. (KiK- :<-'>(>J Divi'li' 
till- T«kiii mill Hii|irrH<-iiil rnK>-tn, 
nvittditi^ Iniiri- H(i)>'rlli'ml 
VfiiLs; Di'xl ii|M'i) Ihc ili<i-|i 
ivuicM nii«l tlctui-li lltr i>ri|nil 
oftW MilniH iiiiim:'I<> fprni llti' 
tilil;!, and mi niiHinp il, itt^ 
iimlt-r Aiirlniv tvill i>nwiil u 
wliin- ><l)iiiiii); siMittli of ti-ii- 

<)illiilL1 IIUIIiTilll, iM'lltnltll 

wliicli will Ik" *i>n A Itiycf 
iif liiM-iji (tivfriiii: tin- rihinlia 
|MMtHtis imisclc. [fMiiHi b 
iHiulo lotvunl till' iriiiMIt' iif 
till- h-j:, Ilic nrtrry will In- 
litiiitil iiivnil \f\ tile iiilrr- 
niiiMiilnr ItiM-iii. tlu' iwrvr U-iii); Ki tin- filler M<: Tltv 
iMittli' ix jKuwil rnitii Millioiil inwimi aflcr tlit> vniio li:tvf 
bn.li f«|Nimt««l from titr iirlfry. (Kitf- ■(*>'■) 




UUkl Mian. fllniB"* ) 



LlOATtOH or POItTKRIOR TIBIAL ARTKRV. -151 



Unaiion ^lh£ I'ottfrior Tibial Arkrif at iti Muidtt Third, 

fiiriMON tw-ii aiirt n hnlf iiu-Imi' in Irnf^li, |innilli'l with 
llto iiinvr iil;^' 111' llic lil)iii ium) luilt' nii iii<-li rnmi il4 
UtnliT. l>ivii|i> (lie nkii), mijiiTHi-iAl ami tlirtt tiM-iii, him) 
tin- iiiiHT nlfft' of ll»(* wtlfH." will Ih- 1'X[mi»wI ; |inwB thin 




lUlatloiH ef Uw tight poNcdor ItUal anery ■■ luiiiprer lUfd. (Bouwii.) 



iniiuiinl nml iliv nrii-ry wirft itrt vfiii." will Ix' <'X|hhiI, kIh* 
llic iHHicrior liliuil nvrvc nt i)h- niiicr i>\t\y. I*iu*<i|if niitllr 
Iniiii wiihoiil iiiwiinl iiHit M-|mnilii)i2 tlic vi-in.v 

higfditm o/" Ihf Potlmof TUnat Arttry lirhind tht Inner 

Irtrinlon n fiirvtti iiiM' l«>t iiiclio id IciiKth, iii!<lM*iiv 
L-iutfii (lir iriidn Ai'liillif :iimI iIk- iriliTiuil tiiJilli-oliiF', 
4 Ki);. ll'i".) Diviili- till- ■'kill ttitil MiiH'rIirinI litM'iii iiikI 
\\(\ ilir iUt'[t liiM-iii it)H>ii 11 ilirrvtor mm ii|M-ti it IWflv iinil 
llii- iirtcrv will In- i-xiMinanl willi iIk- Uiiilmm ol' (Ik* hliiiiljn 



446 



LldATION OP ARTKRHES. 



f.i{/alion of thr fatiortU Artrrt/ in HutUer't fitnal, 

Inrmou tlin-c iitrlii-s iit Ini^lli tiloitg tin- U-ii()o<i of tlic 
adiliiclur nia^iiiiN itit- tviiln.- nl' wliii'ti U ill llif jiiiK-liiiii of 
till' loHiT und ini<l<llv ttiiitU of tliv t)ii|'li. {V'ik. MA.) 
IMvitlc Uu- uliiii, wiiM'riirial lu»i-ifi mnl uivp (nH-i:i, i«n' 
U'ln^ tnkfll lint III tlljlliv till- ililiTltlll Kl|i)lrtliill» vrill, 
»lncli sluiiilil )h' ili>)>l.'iiiil,]in<I t'Xjiiiw- (lie mirtonii" iiiii>«-l(% 
wliii-li ^liuiild U> iliHiilniiil iliiwtivmrci itiid i'\|miw tlic iii»f»- 
ii«'iinui!twhi<-li foriiin till- niiK-ri'ir null iifilii' viM-iiliiritiitii); 
tliix i*li(Hit(l Im' iiiK-tuit tiiKiii It liiniinr, inid llir »r«-ri- in 
iiiii-i>vi<nil nmt kIiikiIiI Ih- wjumid')! fivmi (Iir v<-!it, whirli 
Ih-h (I|miii iHi< oiiUt »)(Ic. The iiitMllr U ihvmiI rniiii willi- 
(Klt iiiwiiDl, 



IjKIATION "P tub Poi'LrTKAl, AlrTKHY. 




IklBIHMaf lk>n|lM|U|«lMBlMUn'. |IMM(«J 



tilQATIOH or ANTKRIOtt TIBIAL ABTBRT. -447 

IncimoH thi-ee nr four inHira in Irnjrtli, ulon^ the exieiv 
liul btinlei' of llio Hi'mi-im-inlirsiKiiis iDiiftrle. I>ivi<l(r lh(- 
skin iitid NUjMTlii-iiil fa.'<-i:i, Inking <aiv not li> injitn- llic 
Mi|ilifDou» win, anil ujien tlic (Im-ii titMna. Tlie edges of 
t\\v wiHind U'lnj; licKl apart tlic wlipose tisiue U hroken up' 
witli n (lirertor, and the iittcrnal |Mi|i1itra) m-rvv will In* 

WW. Ml. 




Upulna or |i«(dlu>l anoii'. (Sura.) 



fimt rx]Hwcd, nnd n<wl tlw vein — U»ili fxtcrnal tn ilic 
urt4'n-. (Kip. :M6.) The iirtm- in iiitilnti-d and tin- mtitl*- 
ix |NKv«-d from witlmul iiiunn). (Kip. :M7.) 



LtiiATiitN or Tni: Antkrhiu Tikiai. Aktriev. 

Till- iinliTior lilitul urtci-v niav lie tini in th<! u[t]H>r, 
iniildl*-, nitil loner lliiitlt* of llic t<^ ; tlH' K^ncml ilim-lion 
III" itu- nrlrri' fitrrwiKinds with n line drawn from tin* 
niiildlrof tlir .■<{«»■ l>etu>H>n the linid of lltr lilmlu iind the- 
tiiUri'li- of llic tiliiu to tlu- niiddlf nf tin- anii-rior iiiti-r- 

lllllltlHlllir ^JMIV. 

JJi/alion qf the Anterior 7W;ia/ Artiry fn /A/ tapper Third 
nfihe Leg. 

hcimtm two mmI a Imlf tu tlmt- inclKW i» Iviii^i, otM' 
mid iini'-foiinli im-lt(^ i-xtcnml to tin- xiiino of ilir lililn. 
Divide lilt' itkiii iind Hi|«vriii-ial fuM-in, iiiid wliru the dii)! 



464 



AKIM'TATIONB. 



dmuiar Mrthtxi. 

Id ]K>rfonnin)i an umimtutton hv thin invllxKl (Jil* iih-i- 
hiou of the »kin b> tiiaae nt ii ilii'IniKv Ix-luw- tlic ]N>iiii 
wliprf Uif l>i>m' ii' (o 1h> tlivitlcfl. An luwUlunt in^Kji* tin* 
lirnU un<l ilr:iw§ |)k- skiti ovcniy iinil linnlv louHn) tlic 
nH>t of iIh- |nn't uikI tliv KniyLiMi ixifun^ iIh- IiihI <>I' tin- 

knilV wfll intti iIk- ttof nif iiihI 
•^**^' iniiktw II nn-nlnr cwitn iironni) 

\\w limit ttiiil nim|ili-Uw \\ve 
(livmion nl' tlu- xkiii anil c<i>)llilitr 
Liiwif with (tiu- itmtioii of (lu> 
kiiir*-. (KiK- »S:t.) 

It) wimc n\M-> a fntiitiifitm 
«lifv<r ixHisiMinft itl' tin- ok In 
mill <H-llnliir lisxnc U iIU-miIiiI 
nji ami UinHtl Uu-k, trnil Mimi- 
tiiiii-9* it irinv Ix* nttx-xHirv hi 
niiikc II »lit on uiir »i<l<- nf iIh' 
Hail 111 nlliiw it to ix- tiiriKil iiji. 
riio Miimil inotxiiiii in itii nni- 
[iiilHtiiiti liv till' cin-nliir nii'lltiM) 
ci>nf ii^tn. iiOcr n'inu-lion of tliu 
Mkiii, in tiiakintcn rirt'iiliir c-nt thnuicli nil of tJif lixHUCN 
ilonii Id tin- Iwm-. (Fifr. \Vy\.) 

TIm- lliinl >lc|> in nil iitn|Miliition )>y ttii' cin-iibir miihol 
i^inHiM", iiftiT ri'tnu'tin^ tin- Kktii iiinl iiinM'U-^ iuhI holilinu 
llii-ni Imi-k liy ii niriM-lor, in (he tliviDJiHi t»f tin* bum* witu 

II I4IW. 

Flaji MHitott. 

'V\\\a iiii-iIkkI of II III I II I tj> tint; *■* MiHi-irfibIt- uf iiuuty 
viiriiilioiin. Ttirri' tnny In- uik> or two tfiiiw nf <?<|iinl or 
iin(i|imt lin^^lti: ilii' Aa\vi nuiy tic <-iit niili'nxiMviti'niirlv, 
liilrnilly, or iilili(|iti'ly. (Kij;. ;t-V>.) Tliry miiy U* mnik* 
liy lmiiilixiii>; llir limit iiml i-tittinK ntitwiinl, ur tlu-y may 
lir nw fniiii willioiil iiiwunl, or tlM'V nuiv U- iiuulc to iit- 
cluilc till' H holi- liiii'kiii-w of till- tiMiX'^ down to \\w Uiiw, 
or iiu-n'ly lli<- -kin nml Mi|>t-rlirial tjiAciii, tin: ikv|M-r otnift- 




Dlvldau ai niwcls |« drtuUi 
MDpuHUon lasitii.) 



HKTIIDIJS or AUI'UTATINO, 



4S6 



tin-H iM'iiif! ()ivi<litt liy n rirctiliir iiii-iKioit. Tlic flit)*> tiinv 
lijiw H I'lirvinl mitlttii' itr iimv U' ni'Uuitrnliir !ii -liuix'. In 
niii|ititiitiiiK liy ihi' niil4-n»-|Hnu-riiir tlii|> oiienition tn«- nur- 



rw. Ml 




lMBfatMa|> ■wiwIiiUuii : 



(•lMhtii.) 



iin>ii Krni^lM iIk' liiith iiik) miUT!) lh«> |Miinl uf u I'inf; kiiili- 
iiiUi Uic tiMtiu-^ at Dh* r4Hl<- umn-Ml liiiiiM-tr, »imI ]iiiAltiiii> il 



Fm-iM 




tu'niHH «ii(l uroutMl ibi- Ihiih' itr Ixmra ltriii|r> it)> |K)iiit iKit 
cJinxigh iIh- xkiii uln |»>int (liNitMHrinillv opixMiU* it» |Miint 



4Sfi 



AlinrTATIONS. 



of fiilniiMv. II<- tht^u .ilia|int die flii|i liy iiillii)); iliiw-ii- 
Wiinl with n nii)t<l witvin^ motion dikI ihi'n (-iili^ KMiiiiK-ly 
fnruiird iiiilil all (ho ti.'«siu^ an' dividitl. Ttu' flaii U-iitit 
tnriin) up, ho re-eiilt'is his kiiifo at tiw 8amt |M>int niid 
)HMM?K it ftii the other ttiAt^ of tin- \n>iw or Umi* ami «its 
till' Me<-»n<) fla|t in lh<- kiiw niimner. (Kit- •i'ifi.) A rc- 
tiwl'ir \K iM>xt u|>[)li<tl and tlie txmc is divtaed with a hiiw. 

The (hal MftkoJ. 

Tlic livid nii)[>iilation U n-ully a cin-iihir niii* in wliicti 
IIh- riitr of r<kin liiu' Uvii hIiI at one fide iind llie an^len 
ni(iiKk-<I off. ThU in the fonn of uin|itilalij>n fn-fitietilly 
(M-rrorniitl lit tite nieiitiiiqH>-]iliiiliin)!'Til iimi imliitnri"^ 
J •! Ill In I !;:<■» I Joinin, niiil is oih- of the iik-UhnIp of lunjitiUtlioii 
ut the nlHiidder-joint. 

Elliptical Mttkod. 

Thi? in a fonn of the oval niettux] of iini|iiilati(Ht whieh 
in t*Di|>loyetl in iini|iiitations at the kmv- and oIlNiw-jointf, 



nc. an. 




Undla*ilalRBlar»ln|iiltolloB. (Snit.) 




HBTHOOa OF AMPOTATINO. 



457 



till' ii)('L<'ii)n rorniiii}; Hti (■lli|i«*^' coiiiini; Itolixv llif Joint mi 
thv fniiit or ontHulf of ilic limb, the mmlliii}; tla[i Iwing 
1(>|4|m] tijion itevlf. 

.Vodijial Orcutar }felhod. 

In ikm iim-iIuhI of Hill |>ii till iiHi tvnt nviil xkiii flnim, 
Kiilrni-iMiHt'Tior or lali-ral, iin- liirii(<<l iij), iiml t)i<- ntiiM'lm 
nn- iu-.\l tlividiit liy a i-iniiliir MwtH-|> til' ilif Icitil'i- ditwn Ui 
th<- lMiiH>(]'''i)i:. U'i'')* 

7Wi/«'jt Mflhoii hg Itf^nnguliif Ffnjm. 

In thi" nii-rhuil of aiiijitiliiiioii, two fln[» iiro miulv of 
inifi|tinl lentil ; lllc iwiHioili' nrr m> ]iliiiltK-<l lluit ll>c 
sliiirlcr tlii|i tiititiiiu!) lliv iiuiiu vli^M'1 ur vl-kim'U. Ttiu 

na. IM 




T«l«'* OMlkail ii< MspilMUa*- lllav«VT.) 

llajo tin* lilt nC (ijiiiit wiillli hikI tin- li-ii^li af tin- Inii); 
Hnp nliotiM In' iitic-fmll' of lln* i*in-iiiiirt-n'ii<-)' ul' tin' liinli lit 
tin* jwiiiit whun" till' IxiHf ix to !■■ iIivkIiiI ; llif Irii^i iif 
ihf lAutn Mill* olu'iild Im> onr-<>i|Hith "f tin- nrfiiiuii-nwr of 
till' limli. 11)f HiiiiH nn> iiit fmni Hitlimit itiwim], iiml 
I'lnlinvv nil of tlu- ti>w«i<'" of tlir liinli ilonti !■> ilic Ihhii-. 
AdiT Oh- Hn|iM huvi* Imo'Ii •li«inrtiL«l il)i, Uir IxKlt- id iltviiktl 



458 



AHrUTATlOND. 



with n Mw, aD«l lite Ittii;; fbip in faUivd ovvr nnd *iiaiirviJ 
to (IiP KhiH-t Hhji I Kijt. .'l-W). Tlie iliwHlvaiitJip- uf ihi* 
iiu'tlnxl ol'aniiMjtaiioit iri Hint iii iiiiisi'iilur liiiilm il r>-<|iiinv 
the U>iie III bf i[ivi<lt>cl iit a IiijHii^r )»i>int thiin wotilU 
utIierwuM-' Im- iii^ii«Harv. 

* 

Periottail Ftap». 

Ill Wiy III' tltr iiu-tli(MlH of mil iHita lint) |>n-vt<>llMly i|i- 
n-nlx-d tlir iMTiiiHtfiiiu tii»v Ix' <liiiMi't<il ti|i in Ih<i t)n|i« 
nlini'lKil to llic niiiTtt-lc^, or |>iiiJiiil ii|i an ii hUi-vc hv nicnitn 
of It <lini-ii>r i>r |M-ri'»lc<ttiii)i<- lM-fi>n' \\iv \m\w \^ Miimil. 
TliiK |irtKi-diin' if iii"si tn.'^ily a(ii-on)|i)isli<il in yniiii); miI>- 
jtt-i.". WWfi tluT^- l)ii)ici tiTv niwli- uih) tlif}' sa\: llr•l<^fllt 
ItijEi-tltpr, tht> pfriiM*t«iin) a>vt>m \\w <iit MirAive ttt tin- Wnu; 
X'l tvlitch it Fiiioii form^ atllimioDtt. 



IShTKirUKN'-K UlXtl'iltKn FOlt AUI'lTATIOXK. 

Th<! ini<truiu<-nt8 rmuir«) for aniMiiatinns »rr kiiivi-s uf 
v:irii>iiH stiajKs himI F>izeti, anM'H, <liMM?<-lin|j fi>n«-)H, Ikiim* 
ron-<'|»>, iirKTv fiirM'|its Ifnaciilii, liiemn-'t.ilir ti>rtv|iM, ■^•'t'*' 
siir8, )H'ri<*^tt.iiti>ntt', (i>iinii<|ii<'ti^, I'^nian'hV Imtnlup- uwl 
Btra]w, Ktractoru, liijaturui, !tiitun-s, utid Hiitarv ul-uIIitb. 

Ampaia^iig Knira. 

Thi- knives n-<|iiirr<l for itniiiniiition.<4 van* iut»r(lin|r tn 
iIm- iiictlxxl of aiujiutntioii atiif tlio |kiH io In- am|>iilJit*f), 

riaBSr 



HulroL 

III M'rtaiii nni|iiitutionx n t4nl(M-| (Fi^;. :l6tt) or >4niig)il 
litoloiiry may Im' iiMil | l-'i;;. :H>I>|, whili- in nllii-r nm» tlir 
•'til ploy m<'iit iifiiiniMilaliii); kiiivi-s of vurioiiH Au* will Im* 
fiKind niun- ivItMlkctiiry. Fur uin|)iitutioiiH of llii- tJiigli r 



INSTHPHKNT8 rott AMPUTATIONS. 



46» 



knifi' Willi M liluilf i>( i>i|;lit «r iiiiit- iiH-lM»> ih ifi-Dcmllv 
i-ni)iloynl, nncl fiir mniilli'r linilu ii kiiili- wiili n lilmU- df 
!fix nr Hovru hm'Ih-k in U-iiglli ; duuUli-Hilgi,-)! (nlliiii^ itn- 



m. an. 



sminM uouurr- 



i-iii|iliiv(i] in nm|Hiliitii>iiH nf ihv lii; iiml lominii In tlivi<l(- 
till- iiiti-riiHit-iitin itw>iit-H iii-fiii-i' ii)i|i1viii^' tilt' •uiw. Till- 
ti»i|»utiilii)^ kiiiv**!« in)w cmjiloviil an- cm-iriH-ttTi willi 



rut. mi 




AnpoMUus knUk tad otUiu 



«»Ii*I meliil Iwnnllt-* ftt llial llicv nin U- n-iiilrifnl ifKiriiii^lily 
iiMjilii- l>v iiiiiiu-rHion iii Ixiilmjit; wtili-r lH'li>n- iM-iit)^ im->I. 

Amptiialing Satn, 

Si'vprnI kiiMlx lit* iiiii|iiitnliitt; viwi' iirt' in i;(-iN-nil iixc; 
iiiiv H'illi 11 l)litiU' ten iiiclitw Imi}; by twn and n liitlf iih'Ikv 

no. MB. 



mm 



■M W i **■ " ******! 



AwimlMliV aw. 



wide, witli II litnvy Un-k li> fiWr it iMldiliotuil liriiim--, in 
n viTV ff<"^i vnrtiiy nl' mw (Ki|f. ■tti'ij. For amjuiliitioiiit 



4«l 



AHri7TATION((. 



niNitit till- R-it ur IijiikI n luimtw mvt with u mnviibit' \mwU 



(■mail KmpuUUng ••«. 



wirh II ini-liilli>' )i:iii4)l(' nntl n iTv<Thilil<- Itlndi' i-i » vi-ry 
iiM'liil vuriciy tif eaiw, sa it rati be tiMf<l filhif in iuu|>|]ta- 



rta. Kl 




AiuiiiiiaIiB( «w wlih iwrandbia Itada. 

ii<>ii>^ ur ill •■xi'iBiiiiip^. iiDil. \M-'ni\i ifHiwtnii-tnl fiitiirlv nt 
iiK-tiil, il (VII U- <nu-ily ivmlcnil nM'i'tii-. ( Ki^' •!(> !■) 

Boju-Force^i*, or < StlHiu/ t*lim. 

TImmc in^'triinH-iilH iin- tiMtl in MiuRtlliiiit! nff any muglt 
crlj^ of Im>dc IcA alWr Um.- imc of tlu- )«w. ur lor tbr 




Ik,utf-lt>«r«|«. f ruutoi |>*M(*. 

cHv'lHinii of* till* «miill tif>iH« in urnpiitatiotix nf llic fiit|it4W 
ami |in-H. Tin- r<ir<vii> niintild Ih' I'rtini ivti lu inrlvv 



IK8TBIJMBNT8 FOR A Jt PUTATIOKS. 



401 



iiidH-H in Ivnelli. K-itli KIikIi-s I'mni «nv Kt iiw Hn<) u half 
im-liut in knjrlh. (Fip. Mh.) 

Perio»ttotome. 

TIh' [HTiiHiciiiimH-, iir nu«)ial»n-, i.-< 4-nii»loml fur ilif^ 
Mi-till); ii|> II flii|> i>r ]H-ru»ri-iiiii, wliii-li, nm-r Mwiit)i the 

rio, »: 




Imnc, iH ilniwii ilowit nvi-r ihf Niwcd mil nf lliv iMiiti-. 
iFig. .1«tl.) 

Arirrg Fifrvrpn and Trmumln. 

Tliise iof<trun]«>nt8 itrc tiMtl fur tjikiu}; up thf vaiFtwIa, 
nml out- lit' ihv liwjt fitniis of iirtiT>' tbn-piis is iltut knuwn 
an (Iip dl>lll>le-^|^^ill)J; iirli-rv fi>«v]w, (Fiji. I'.Mi, p. 271.) 
Tpiianila ure al-Mi riii|>li>veit fur l)iv sanir |inr|Mii^>. Jftrmo- 
riatic foi-ixpe nil) :i|)u> Ih' fnimd iiio^t iim'tiil in niM-N of 
iun|>iilatiiin, for tlic Ri|>id nintml of licmorrhu^- fmm 
email vnwcle ufter th« todi-niifiiet )uim been n-morcd, llie 
vcbwIb Iwinj; Mfiintl by U^tutvs liefoiv llip Iwtnmitatir 
foni'|>w nn- hiuovcd. 

Retra«lor», 

Tl>i.n- ninniKt of \neev*L of oiiiHliii hix or I'itHit iitdiif in 
witllii, iim- L-nil of which ix i>|tlil into (wo or llint- UiiU ; 
Uii* RintH-r t'lirifii- of n-tRifi»r i* cniployitt wlicn- him- 
Inmii' in (lividui, »>> in nin|viitii(i<ii)H of iIh' iinti iiiul l!ii};)i, 
tiiiil lli>' liiili'r ill I'liu'" nlicrt' two Imiim'h iiri' •liviiK'<l, no in 
niii|>iiliilioil>> of tlir fortfinii uilil liy. (l''i^. 'M7.) 



-IR2 



AMPUTATIONS. 

rwi.MT. 




Liffalum. 

Th«- Ik-fI iniiiiriiil In <-tiitilov fiir the li}>»tim- of vc»«ti'l« 
ii' jiiiii|>'T >ir i-litt>tiiicixiil ciii^tit or "icrilin?*! Milk, Uik 
|in-|i(in)lii>ii III' «liii'li till.- Ui'ii i|«iMTilH-cl, 

SiUHrr*. 

TIk- riiJitfriitln I'liiiiliiyifl Tor r^itliin-K in ihm'm nf Hlii|till 
titHi tiittv Ih' nilkwortn-^iil, ml^iit, >i)k, or t>\\\rr win-; 
i)i<f|t or Knriiil j-itlnrfs "f <wrniii in liriiiuiiii; i<>i?tlnT llir 
i-dgif fit' ciii- )ii<ri<iiirit>l llii|r<, ritfiM'U"', iukI t':i«'iii, iil-i' ••iWii 
<-in|iliivitl H'illi ti<tviiiira)r<' in luiiiinljititm!* (I''i^. 'MIX), rlii- 
Hkiii flii|M U-inif liniiulil top'ttnT wirli in1i-rr(i|Mt<il or 
niii(iiiiinii> Hitiinx ill' silk, mltixli '•ilkwi>riii-);iit, or silvi-r 
win-. ( Kijf. :iti!l.) 




bKTAlI>8 or AN AMPlTTATtON. 



463 



Fm-M 



riu. «n. 




IMmim-h.i 



^iiiiina of diln. 



Thnrrtii/iula. 



I 



For llii-niDt rill oriii-tiiorrtuijiCi-iliiHiiiillii-nmitiitnltontlM^ 
{■Vmnrt-liV m>|uimtiti' ( l-'if;, 1 iH), or I'lHttV toiiriiii|iii't ( Vi^. 
187) ■(* (tii|>l'[iyc<l ; or Uic cin|tliiynipnl of iHith nl lliv mm*' 
(iiiK'will oOt-ii Im- riKind mii(>l mlixfiiinnrv. Ttir KMiiian-ti 
IhiihInj^' nn<l hiix' iM-in^ aiipUiil, nfliT t)ii- niitovnl of tliv 
IhuhIii);)- fill' toiirni'ttirl or i'clil i« liwnclv :i|i|ilt<'<) lit n 

IliglHT |>>>tll(, Iiml tlf\>T lllr Dlllill V<vvvU IlIIW Ihi-II iV.vlin.tl 

iW claMir Klni|) U rriiiov«»i imd iln- li)iinii'{iiH i" «*rrwttl 
<)i>wii iiw) ti)iitn>li> lltr bliiiliii^ itntil lh<- wiuiIUt vtv^clit 
Uuvr Ik-mi Hi-iintl liy litjiitiin-x. 

DerAiiJ« ur ax Auittation. 

Tlir rntliin'inK iin- (hi- Mr-pn nf un «in|>ulutiiui of Uic 
loufr |uirt ol* llii^ thif[)i : 

Tin- «l(iti i(i Hrst lh<innii;Iil.'' i-liTiiiM't I'V ntl>liin)f il with 
tiiriN'iitiiti- iiihI ^nyt itiii) wnhr iiml !■' llit-n unrJiiil uilli an 
HiiliM'|H!r dilution cilliiT •ifiiirlxOii' iii-k) 1 : II) nr liH'liInritlc 
111' lut-n-itrv I :2INK». I'mvi-tjiKi U next iiimlc hi tin-vi-iil 
till- lit»t iir ItliNxl iliiriiiic titi- i>|H-mti4>n l)v tlu- ii]i|ilii-nlt(in 
III' I'.Hiimn'li'H InmLiKi' iiikI IuIm'; llir IkhkIhp' U-iii^ n>- 
ini>vii] II |iHiniit[nri ih |iIiki*<I hvit iIu' tt'iimral iir1<-rv in 
SufimV triuiii;!'- uml Iihm-Iv ><rciin<il. TIh* liiiiU in agiiin 



464 



AMPUTATIONS. 



waHlinl willi bichlnridr Miliition. Tlw in-tnitm-nb Imvini; 
Imi-i) pirvioiiHly ihortiii^hly stcrili/xtl. u rultlitT clittli 
i-<iv<-rcn villi iimrrlH nniitt; mil in ii biWilitriiU- Miliitinn 
i^ jiliDTid iinitfr (III- limit. '[")»• variety nf uii]HitalioD 
havii))£ iMvn ih-ritKi) tiiioii, tlu- tliiiK* iin- cut aii<l tltf muM-lo 
aiv <l!vi<)c<l tlowi) til llu' Im>U4- : llic |MTi>i?>ti-iiii) Mag ili*- 
MvUtl 1111, a tuo-ttiilxd n-lnicliir i* n|i|)liii| iirxl tliv tt<wiiiit 
art- Ik-I<I liurk liy uii iL^i.-'tiiiit Hliilc tli<- •<iiivii>ii itivid*^ 
tW Imiio with the i^iiw. WIk'ii tin- Ih>i)i- liits Im-ii ilividi^l 
th(.- n-lrar-liir it* n>iiHiv<il iiikI (lie A(irr»(v itf ihr wiiiiiiil in 
irrigatMl nitli a I :2(MK> liirhloriile toiliilion. TIh- ftfiionil 
artfry au<l vtriii nrv tirxt roiiixl ami i^Hiirtvl Mitli liuuliin'A, 
him) any l>ram')i<^ uliich can Im- lonmt nn> iiIhh Mviirtil. 
Till- flactir slra[i i.» itnioviil after scrpwiiijt iIhwh iIm* 
l<'nrni<|iM-l, itnd tiy letting up tlie jinMrJiin> nn ttiie, r^rnallrr 



I 
i 



Pi*. 




IMnpriMWliiaBMaaU*(>u<>rM<MiMUi4ilnUa<«*nibw. ISana.) 



vcn»)-U wtiti'li IiIikI iir»' |)i(-knl np «t(li nrti-rv (iinT|» oi 
Im'nuMtiiti'' t'oriT'i)?' im<l >wi-iin«l. .MIit nil lilfxiliiiic liiui 
Itrt'ii (vinlixtllol llif tiiiinii«|iicl ■■ n-iiiovol arxl llir woiiml 
Ik apnin tlKiroiiRtily irHt:n1<il utlti a 1 : 2<MMt hii'liltiriili* 
MilntiiiR. If llicn' in iiiarli iHixinK from Mnnlh-r \tiwU 



m-UBBSaiNO or AWPOTATlOKa. 



46.1 



tliiA W)liitioii ^liitiili) !■■ Ill* liiit IL1 lite tinii<lA of il>c (t|H-mt(ir 
I'iiii oxiirtirtiilily ^tiim), uhirh will ai-t |in>ii)[)tly in (v>ii- 
trolliny tliirt varictv of lilrtfliii^. Tln^ )HTi<is1ciu tlii|iH, if 
thry liiive Ihtii iiinili-, nn- hroii^lil (m^i-iIkt )>v two nr threu 
mlgiit Hutiin'S, mill n <lniiiiiif^-'iiil><- i» nexl iiitnMliicnl or 
luo Hliorl IuIm-s an- inlnxliuiil al i-illK-r •■xtn-iiiity of tin* 
wuiiixl 111)') niinin^I liy HitliiiX7< or .-uf(-Iy-|>in!< ; llx- niiiM-lm 
fliiiirlil iii'xl Ih- iimitiictil logi-tliiT \'\- II fcM' <)*i-)i or lHirii<<l 
siitiiR^ of uitgiit, aii<l iIh- likiii ttuiKi iihoiiUI titoit lie 
l>roug)it iuto a])[HjBilioii bv a iiiinilier of inbrniiitn) 
Hiitiimv Tho iitucr Hiirliu-p of lK<- !<tiini|) Li next irritriiied 
hv » Htivniii of liii-liloriilf soliilioii iiiirouiK-Ml llmxigli ilie 
(IrainaffivtiilM-, aud llie ^iiirfaiv of tlt<- stiiiii)) is washed 
with Die 8aiue solution ; a jiiwv of |)n>le(-livt^ is next 
pluit^l over tli«' line <if thi- wouud and owr this U plui^l 
i> iiioiM MiriHiliu-al, ttii-tiloridc, or iodofimu gimn' dnvtuiitf, 
iuhI over lliis II tiiiiiilicrof liivcrs of drv jfatiiue; thU ih 
itexl <i)ven'<l liy riilila-r Il-<hii«- nml » niimlx-r of lay<T^ itt 
liHiloridi- cotton, or if rlie ilri' nti-tliod of dro«inf; is 
po'fi-rrtil till- nihlN-r liwxic in omitted and a niinilMT of 
layers i>f liirliloritle i-ottoii are liiid over iIh- (tauiur drt-«i- 
iii^, iiik) the wliole dm^inj;; iti Itcid in [tlare liy » rvciirreni 
liaiidiiKe of lite !iluiii|>. 



Kr-iihi-»hin<i ok Ampi'tatiosh. 




The fii>>1 dreiwiti^ of an ai»]iiil)ition, if ^itriet antiHenlH* 
|m-<«iilionH luive Ihi-u ohmT^wl al the time of ojienKion, 
liee<) not, a^ U ruh'. be liuule lor a week of leii duyn, eXoe)>t 
in «««w wlK-n- iIh- <Hiiiiii){ in mi )mifiisi' as lo tinak ihe dntw- 
iiip". or when- <inisiviitive hvinorrha^' has on-nrn-d, or the 
jHitii-iitVcondiiiou hliovr-lhal tin- wound i» not running nil 
iMjitic iiinrse. Til"' n-Hln-winjf <>f a Hininji mil In- nx-oni- 
|>lii4hi-<l wiihotit |siiii to the |>alieiit if tlir •>iirK<'ou mid hin 
itfMistaiitM iin- (ireful in their iniini|mlali>iiiK. 

The dnv4^inp« In Ih- iijiiiliitl, ihi- Mthilioiui for irTi||Cntioii, 
und till' inntrunii-iilH rftiitirvil !<hoiiId In- |iR'|Kired and at 
tuind iN'rore ihe Htiiniji u i!XpoM-«l. 'I1tr HurKt<on and hiH 



466 



AHPDTAT10N8, 



nsMti'ttiiilK f^tiiiilil wiimh ilivir luimlx i«n-tiillv, Hiitl llit-ii i)i|i 
tlii-m ill II 1 -. 2i>0iJ hiHitoridf iwtlittioii. 'ilie )Mii<liitfi' n*- 
tniiiiii); tlit- ilnMsing)^ tn tlic- Htiiini) sliotild lie (liviili.i) vrilh 
luiiiilitp- K-ItiNorw nitlmnt titling ifti- Htiiiiip frMtn tlit- iiilloir 
ii[M>ii which il rv\*. AAcr iho Ixiiiihi-^ has Iwii ihviili^ 
hikI liiriK-d .iwiih'. iW tp»w iJrf^in); is n<-\t iiiilolili'^l niii) 
tiinic<l (luu'i) ; nil IlH'il^lllllt li<>w «Ii]i« hie hmiila iiii<li-r ihf 
Hiiiii|i .iiiil i^-iitlv miMTi il rn>m Iho dm^iiiK^^, nml iit llie 
Miiiw tiiiu- II ruhlN-r I'lulli Mivcntl witli Imwiho whi<-li liaw 
Ihtii wnmg mil in ii I : 24)0(1 bichluntle Hilirlion is 8li|i|M^ 
iumUt lhi> Miiiii)) iiiiil thf Miildl drrv^in^ an? ix-muvi^l. 
The |ini|iH-livi' riiv. riiiK the iiK-ifimi \>- ih-aI n-mnv"! uml 
lli<;8nr(iMVi>f'(iu- "lump ii- irripiltti nilh u 1 : lifKXt Iw'^ilir- 
ri<i>* wihiliiiii ; the ili-tiiniij^-DilKw urv lu-xt <-x;iiiiiiHil nml 
lh<- cuvitv of the otiiiii|> ih irrij^iliil wilJi the ))ii'li]uH<)ir 
Hulutioii thntiigh lliv tulvm hv nu'Siif of m nvriuK*' "r ua 
irriimtiiiK iigiiKinitiM, or lh<> irri^tioi) mnv Ih> oidIiuhI. 

Ifthfuoiiitil i> iiM«']iii<-nml iht-n.- wt-inKlo \»v no liirthvr 
ii)ili<iiliiin for the oKt- •>(' lUc <h-»inup--tiil>cK lh<'y iiuiv U' 
rt'iiKivn) aixl liii- liTK'k of ihi- itilx' p^hmilil Im- wiiKtiiif •ku 
with ihi- niilif-iilic MiUiiioii \ty iltc ^vriii)^' nr irrij^liir, 
Thf Mitimv un- iitwl fxnmiiii'd uml if llii' uoiiiid i* ririnly 
lititlcd iilUTiiutv Miliirff ninv U' rfninv«l ; if uiIkijI nr 
Milk»<>riii-tnit MMltirt* Imvf lufii imi) IIivv iiMtl nut Iw 
<li>tiir>>iil 111 Ihi" iin>"inn. iiiui Ihoir rviimvjil iiwv Im' |t>vit- 
jHiiiiil tinti) II niili-atjm-iit iln-win^:. 

The wotiiid nhiHild ncxi Im' iiivitihI wilh ii \netv of jin^ 
tit-livr, nml » piiixf dn-Miiiii! ulioiild Im- N|i)>lti-<1 »tn)iUliiiK 
of II iiiimlxT of InvrrH, nml ovi-r thi" « iiiiml«T of laycm 
of liit-hhiridi- (iiilon, iiml tlic dn>Hi>iiip> r-hoiild Itc hi-I<l in 
phur hy A ni-nrn-iil tJelmtl^rl■ of i)tc >toi]i|i. hi liolditi}; 
the Htiirnp (III' ii.-viiT'tiiiit nlioiilil hohl il liniily to pn-vcnt 
iiiiiw-ohir ■'iJMMii, iiml iitli-r ihi' dn-w-iniri linvc Jmh-d Mvurf^l 
it Hhiiiild Im- ]iliti>«l ii|>on 11 (-)ititi pillow pn<|icinil for it* 
ivociitioii. The Niiiu' priKiiliinti »n> ni|opti'<l itt Htiliooipicnl 
(IrcHMiiiKH, Bitd if itic iviMiitil Itiix run nil iiHi-|ilir mum*, (n-ii 
i>r llmv <lrt?«<inp>, ul loont, will U- n-<|uii-c<l. 



AMrUTATIONS OK TUB BAND. 



4«7 



8p«oi»l AmputttUona- 
Amittatioss i*y thk Ha.vh. 

AmimialioM of the Fingtrt. 

T)k> fingvnf iimv U' um]uitiitc<l hi tli<- nmtiniiity uf 1h<> 
ultiiliingt-Fi i>r in llit-ir (■iiiili^iiitv, iukI, im h nilc, iif il is 
ini|MirlHiit 1(1 luvc iif> iniiHi im (Hnvilili- ol' tiic liii^T-r, iIm' 
foruicr uifdHxl '» p-wmlly (o In- t'liitiluVfcl iitiitciu) <■(" iliit- 
articiilaliiiii ill n liiifliir jHiiiit. Tlir iiini>i<>iiK KhoiiM Ih- «> 
iiIjiiKHtl ttuit till' I'iriitrix (liNv lutt iKxtim' tlic {Kilniiir Kiir* 
fiHT-; iIk- UiiyiT H.-ip k)i<>iiI(I, lli<-rcf»r[>, ui> Ijiki-n fruru tin- 
|ialinitrii^|)c<'l uf tin- tiiipT. In iiin[>tilntin;; tlx- |iliiiliinp.v 
•it' tilt- liii^'D) in liifir coutiniiily [Uv I'inriiliir nti-llxMl (Ki^. 

rM.ni. 



AMpnunMior 




: loiig |«liD*ratu iKatcHtm.i 



37-I, A) i>r II Kliiirt tlornil Hai) aixt a Ump imlniar Hun nuiy 
Ik' otiinliiynl. In <lnartieuMmt/ a nliiilniix il i« newt to 
MUcr ln<- joint witli n namiw Itnifr from ih*- donwl ni<li>, 
iitid iittiT luivinK »irrinl il t)iroit)th tlH'^int, to mt ii hnig 

Imlnmr tlii|>. kii-piut; vh*^- li> tlii' Ih<iic. (Kit;. -ITI.) In 
ooRtine llif |HM)lii>ii of t)i4' |kU:ilan).'TTii| joinlM, il u> uvll lit 
rfntriiitMT lliiit iIh' [>n>niiiMi)iv iif tin' kniu-klc, whi-ii tlH* 



AHfUTATIOirS. 



liii^iT '» fli-x*'*!, H t'ortiKil pntirviv nniti* ImimI ttf llii- pmx- 
iinal.aml not ofiln- Imst- orilii-iliiiiil plinlnii.v iVijj;. UTi), 
and iilm tliar tlii' fnld.t rm iIh- iKilumr ?urfiur »( tUr fin):i*f 
do lint mrnxjNimI I'Xiirtlv Ui tUf jotiibt. (Fl^. ."(7.1.) 



FpL I7t 



m.ra. 





n>luiCCi H«lf4. 






i/ofNm o^ 'Ac Finfffi- through SiHcKarpo-phalat^vU 
Ailieulaibm. 

lu thtf> viiricty of iuii)iiitiitiiiii aii titcioioii im mwli' from 
a, |K>iiit of iIh- <](>ixiI .-iiiHiiiT' of th<- m«-tn<'nr|)(il Ihkm- n 
(■iiurtcr of itti iiK-li iiIm>vi- tlir Hrticii1nli>iii, w Iiit-h i> mrrit'i] 
Uiraugli (lu- i lion) i);i till v>i-\> uwl Inu'd niton lli<- |Kiluii(r 
Kiirfiuv |o II (loint H (jiiiirlcr of nii iiu-li iiltovr (lit- ll*-xiir 
fold (I'i^- •^^■i< i')- -i^ ^mitiir im-iHion Ixyiiiriiitji mid 
fiidiiig ul ttu' miw jM'inlx in luadi- ii|miii llir imjMu^in- side 
of Ow litigiT. Tho llii{i» urc diiMn-tcd liack, iiihI tho lutttnl 
lipiiiii-nl», ti-iidoiH, uihI rPUiiiiiuW of thi! ca|MiiU- tirr] 
dividi^l. Tlic l\n\pT niuy aim) \te aiiipiilntnt at iIm' riirt^J 
mriH)-]i)i]iljiii^'nl j"iiit l>v iimkiii); an tnriston on ■in«' sidi- 
Niiil di^Mt'lin^ llii- Haji Uuk to tin- Joint, lli'ii ilividinif (it)' 
Uttcni) livniiifiit, ofO'iiia;; tlic joint and i-urrviii); ilif knili' 
■rrowt llii^, dividing tli«- iriidon!< nnd liiiintl li){uinviit ou 
ihr otlitT oidf iiiu) nittiui; ii llaji fmm vtitliin oiiIwunL 

it<>nioviiI of (lie luwl of lli4- nii-iiKitqud JHini- !f ilwiivdj 
iiuiv If ni'>i>ni])li»lii-d Itv ijic iisa-of rntllni; jilit-nf^Fi);. •ilhy 



AMPtTTATlONS Or THK riN'OKRS 



469 



but, as a nilc, tliis priNtiliirp if not u> Ix- niiin)i»fiiil<-<l. 
lor, alt)i(i)if;)i llin dofoniiitv ib <liiuiui^l)o(l, die ntrm^tli «1' 
the hami U iiImi diniiuifilml. 




J. UMnKulMlMi af pbalain, imImu k|i. K AmiMaUca la aiuUiiuliy, 
rlnwlM. IX JMaauftrrlNluoKl 4lBi1louUUcm. O. AnfMiaUon of imu- 
(Ul^liciiwla««MlaiiHx. X. MnrtkvUOoii of miM Bur*, F. DlaultHiIMM 
of UUt Mf laMfrat boo*. V. AmpguOcai ■■ ihc mrtu.rlnwtor, M, ABiWMtlOM 
■IUmwiM. iSnnoM.I 

In iim|»ilutin^ tlif liulr mmI tiulcx Hiip'n* it full liilcml 
H(ij> tiinv U* ml on tli>- I'rir xmIi' iiml iin inoininti U wxl 
iitrriiil iu'ikkh (lie jictlniiir onrfiii-i- to tlu* Hii);lr ol' llic well 
tni<) i)ii-i)i<i- liiH'k n> itii' joini, whicli Im iiih-iki) iintl clif iltM- 
nrtit-n lilt ion i« ftTnU-fi. (Kin. •t'l, K) 

In nmgiti till ions of the Ihigrr ul tlic iitnilnnffiiil jointM »r 
M iIk- tn<>liinr[Ni-|)liiiltinf^-Hl Joint* twn vcmm-Ih tiniiallv a^ 
([(lin: li)riitiiriiig. ntitl uIUt iIkw iiiv mvudhI ■ mtgiit tlrnin 

9tl 



470 



AUPUTAT10NS, 



Itniiiglit logetliiT Hv a I'rw inti^rnipted suture!*. 



na.»i. 




,1 of Im»I iI iDttiiCUTal hum (MRVJ 



[» iuii|>utnlin^ tU" tnctarHriKil \h»v> it in ailvUiltli' to 
liMVc tliv (^iriKil )'ii<li> 111' iIk' Ixiihi' til avoiil 'iiHiiiiij; tl«' 
Hri'i-joiiil, i'\(V))t iu ttii- i-iM- (if till- first iiikI IiHIi iiu-tii- 
ittrjuiflMriii-M, wliicli <1<i \VA tiiiiiiuiiiii(ii(c u'illi tl)<- otlivni 
U)(l will) 1)h* nvitiiviiil Kiiw. 

'I'll!' iiii-iMion.-* fiir the n-iuoviil of Uir- mctu<'nr|>al bouo* 
on' tlir MinH> ai> fur llic r>>nii»\'iil ul' ii liiiffi^r at llio mrta- 
(«r]*<i-|iliulnii|n'nl joint, IIk* iiK'i.4ioii Xwxnyi i>n<l<>nK«l hock- 
umnl It" liir »» inii^nMirA' i>vi-r \\w (lorsnl Hiirfnn- «>(* Uiu 
\tn\w. (KiK- "'"tt /'■' AfVr the rin-tii'Tir|K»l Ixiui- tiiut 
Imo-m Uitvxl for II ■iillii*ii-iii liL-unifr, il ih t'lii ilir«tit;li witlt 




AVPDTATIONS AT THK WRIST. 



471 




lB«Wiiii tor r*- ' 
(Smim ) 



l)oii«.--iilMrK nr iliMrlicuUUil, itixl llit- iliHttil cud ix mtteA 
Irani ite InxI iiitd <iir>'riilly mk-iwiriImI fniiii ihf MtH |uiHk, 
inn- lieiii); Uikni !■• nvoid injury ol' tlio 
i(tnictiii-t'>s of iIk- juilm nt' l)i<- Imml. 

Ill uiiiiitituliii}! iIk- tiltli ii)i-liKiir{sil 
U'tic ihf iii('i.>ioii i>1ki(iI<I Ih' mniU' rIoii^ 
tltt' iiiitor iMnk-nil' tli4- liiiod nn'l <'»tTH-<l 
iluw'ii til llti- bunt' Ih-Ihwii 1)h- skin luid 
the nNliii-liir ininiiii! lUiptii tniiM*l<\ ( I'i;;. 
STtt.) Tlw lower cihV of Uh- iiK-iHimi 
MIMM »»viT liiv kiiiiokic t'l iIh- wot) i»r iW 
tiiijpr iind Ixukmin! iiikIit (lie [Miliiuir 
tfurliuv Ui jiiiii till- fiTft iiiciniim. 

Ani]mt«tion of tlic rntin' (liiimb vritli 
.it* nieUmtqiiil Uiiic t* t-ffifUHl hy niakin^ 
ait t>val tliip I'miii llif |Kiliiiiir Mirfiur; in 
<iksL- (if iIh' U'A iIiiiidIi lite joiiil iiiitv lie 
oiK'ncd l>y uii ol)li([iK- incUtoii mi tlic 
ilorstl itiirfaiv of i)k- Imml, l»-p!iiniiif: ii 
little ill fninl of thv Joint iiud iK-iii^ iiir- 
riitl dow II to till* Wfh iKiwti'ii tile tliiiml> 

id f!>rctinu;i'ri llit- (nliimr flii[> l^ llit-ri 
imlr liy tliriiFtliii); lh<- kiiiti- iijiniinl u> Etn point ot 
I'liInuKu- iind rutting; duHiiwiin) nnil nctnitnl. In iiinjiii- 
tatinji; the- nKlil ttiiiinb witii iln lui-liniiriuil iHiiioil isliitlcr 
to nmki' ttM- lutlnmr fliiji tint liy trniuitixion, tlir clonm) 
tlu|> iH'in); niiKl<- fitli!4V|iKiilly. 

A tnpuliilhn of Ihf hatul at lite carfio-mHararpiii joint m 
(Hiiifionally iMTloniRtl, or iK-twavii llit- rown of iiiquit 
lioiifN, lint ii> not am n nilr to \h- nvuMiiinotukv), im iIh> 
mr(Ml tximv urc ngit fHilnwaiiu-nily to Ikiiiiih- di»>vit<t) ittid 
ntiiiiri' n-moviil, mi tliul it to bctUT tu aiupntali; nl Oui 
nu\><*H-ar\M] join I. 

tAMl'ITATIONB AT TIIK WlUHT. 
\ CinMtar }frthod. 

1 
by 



Tilt* »kln of (lie fon«nn iimr (lir wrixt Iwiiifit n-tnu-titl 
by nn nwtiNtnDl, n nn-nlnr iiK-inioii of tJic idcin iiihI n-llulAf 



472 



AHl'UTATIOirS. 



tiastie ix macltr half nn iiH-li Ik-Ihw tite jtoint ol' t]ip hIvIokI 
pro4M>w« of ihv radiiw. (Ki)(- ■'i'^> ^■) I*'*'* ''^i" o'**' 
ivllnliir ti><6uc arc ih-x1 diiwiTlciI Uti-k u* (ar u^ lh*- joint, 
which i» o)m-iuhI awl the (Iir4irtic>iiliiliriii is ivMiiiilctitl. 

AtitfrO'po^a-Utr Flap Mtlhod. 

Tliif tiH-thfNl It, iiIm> fni|)lovr<] 'ill iiiiiixitiitionH lit thr 
wriHt-jnitil : iiri tni-ifion (iirvi-<l <li>wiiwiinl U ininlc oii tliu 
iKK-k 111' the hiiixt Croiii one flyloii) iiinmi-?^ In ihi'othir; 
ttti- Imml Iwiii]; (IcxmI k\w Wtu\tt\w un' diviilLHl uimI tlir 
joint niH-iiwl, iiikI Ihv luiliiiar Hup, whii-h filiuiihl fxli'n<) uh 

rta.Vl7}. 




fur iw Ihi- Ihw III' ihi' mi'1ii<iir]<iil Ixnutt, in itit rnim within 
oiituan). (Ki^. ;177.) Aiii)>iiiiiti>iii at iIm- uriHt i^ Munr- 
limix iloitr liv mitint; a "iiiifh- rtii|> fniiii (he |Kilm. ttw* 
jiiiiiL luiiii; iijifiittl liv II iraiinwnx- im-ixioD cm \\w imvV dI' 
tilt' hnihl tnitu line ntrhfid i>r<Mi'«» to (he iittHT, 

fjalertU Khfi jVrfAo*/. 

Thin iii4-th<>il <Ki(;. ■171, U\ ic nl*<> *iiin'tiiiiiii tniiiloyoi) 
ill aiit[iitUitiiin iiL tlic wrist, kiiil iiiav Im- i-in|ili>y<<<) will 
nilviiiitiigc ill utiMw Alt lurrmtiou \ti \Xk hiiiKl, in wbiHi tJit 




AMPtrTATioxa or thk porbaru. 



473 



injury to iht- tiw>tti-» pruvi-iitK llio fornuitiua of itiv t]i|K 
iim-tI ill lilt* iithvr tm-tluHU nf iim[iiilnlit>n. 

Amhitatioxb <>v tub Kokkahm. 

Tlie riinnrni may In- ampuluUHl l>y tli<> rinnihr nr ilu|i 
iiiellKNlti, or by iiuiliiiiK ittia uvular IIu|m (Irale'i^ luetliocl). 

CTn-»t/«f ilfihod. 

At the liiwcr |H<rli<<ii ofilic liintinn tin- ■■initliir iiiftliml 
of niiuxitiilion U III Ih' jih-lrint). A cirfitlar iiti-i.-<iiin of 
till- okiii iiml ivlliiliir tiiwm' i» nituir iin<l n mlT is tliMtn-Ktl 
ii|i, (III' tiiiiiu'l<<H iiml intfnKMifHLi iiifmltnuir \»\n^ cut 
tlm>ii|ili ; A thniMailitl n'tnu'tor ii< m-xl a{i])1i<il iiml the 
iMitiw nn* (liviiliil niUi m niw. 

Atri|Hitalii>n oflhi- fitri'iinii Ity llic tiii.vtil mi'lhiMl. uhii-li 
uuiimihIh ill tirnt •lisMvliii^ ti|> tuo iitiU'ni-|MM>UTiiir oval 



FIN.OI. 




JUapiMUou of Ih* Im«i» bj mU»* mMkot iBbtuit.) 



ftu|K> iif Mkiii ntHl n-lliilar ttwui' uiitl tln-ii (Itvidiu); llii> 
iiiitM'li-M l>v It Wiriilnr iiii*ir>ioii, in bImi » raitiMtiKlorv niH-ra" 
lion. (I-V'tTx.) 

In iiiii]iiiiJiii<>ii lit ilir ni>]M'r |H>niiiii nf tin- ffm^rni, 
itnlrrtt-pmiirrior, nr Udtfit llii|r, itil fruni Hilliiilll iiinnnl 
iir liy tnnofixiod, iir r*tinn^uiar Way niity Im' niwh' witJi 
wlvnnUip-. 

TIk* |irii)fi|)al vi<(M'ln ni|lliriil): llir ii|t|iltiiiti<>ii nf Wpk- 
tiin-- ill iitii|iiiiiiii<iiH nf Ihc (imiinn iin> \\w rwlinl. uliinr, 
uml iiiu-niMHiMi* nrli-riiio. 



474 



AHFt/TATinVS. 



AUPIITATIONH AT TtIK Kuxm', 

Ttti- nii-thiMU of iiiiijHitiitini) i.-iii|>Iii_vi-<l ul tin- t-tlxiw utv 
titK iinU'riiir tlji[>, liiU'nii flap, awl cirtculur. 

Anlrrior Flap MMod. 

A (Inii ilinv iiK-ti<f< iti Kni^tli witli Un imse (mmllrl lo 
il Imlf nil iiK'li U'Uiw tiii> f<in<)yl«« of the iiiimrnix, \» 



an* 



Flo. tif . 



pm. am 





lauKlnapiiiMlmlarBttiaauUw iiihiilliwr 
IMnl. <BinTK.i 



AniMUMM M Itw alfenw 
>||«U d. AMaiMr top 
BMImd, Jt. Kiun»l flap 
mnIkiiI r clniiiMriiu!tk«(l. 




Orrutof WKtiBUUlun u Ito «I1m«. 

<SMmt.l 



cut miIht lir tmiiMlIxioii or frttm willioiit ItiurHn], TIm> 
jdilil in iii-xl f)lH-liiil niid till' Int'T.tl tijnxiii'lil" iliviilitl miil 
tbi' ulHTninon ik cxjMKiitl mul tin- iiiuit-liiiit'»l iil'lb«- Iricirpn 





[PUTATIONS OF TUB AKtf. 476 

in m-iuiniKi) niid n tM)«^4?ri'ir Hup i'l <-tit fniDi u-illimit in- 
wuni, tir f'moi witliin outwurcl, a lilUv IhOuw tbu line uf 
tJ)v<<()nd>-l<w. (Fig. »7», J.) 

ia/mi/ Flap itethod. 

In itiuiHilaliiin at the t^llNiw-jnint laleml fla|»< nmy be 
(■imtloyra, "il ciilwr fniin wilnmit inwHitl or by traiis- 
AxiiMt. (Fig. .Wt, li.) An i-xtt'rnal flap ihrro iiidie« in 
liiijjt'' L- iiimli- on tlip iMtcT ni«lf of ilii' iinii. Hlartiii); tri'iii 
;i ix'ttit a tinj;iT's brtsdili Mow iIh- U-iiii >it' ilif <>l)Hm-, by 
intiisfixioi) nr by viittio^ fn>Di uitlumt inward ; a .iliorter 
iiiliTnal Hap is next •'ill in tliv ^mi- nianiior, and the joint 
It o|H>ned and <lb<arti<-nlatioii i-fTcclwI. (Fig. -iMi.) 

Circulnr Mtihwi. 

All im^iitiiHi dividitii; tlic skin ami n-tluW ti<MUf is 
uimI*' nroiiiirl llw limb tlire-v inclK-K Ik-Iow cIk- lim' of tlw 
(iindylfvi of titv liiimfnii' {V'l^. HTtt, 6'). tlii> Ai.\n ic di»- 
i%i.<ti>tl ii|) and n Wri'iiliir inciMiim inwlo liiroiij^b 1)m- niii«- 
dtw, thf join) if^ (>]i4-nvcl uikI tlic iltMirti<iilation i-fin1«-<l. 
(Fig..t«l.) 

Alll'tTATKtKK OF THK ARU. 

'Hir anil may Ik' mmiviil at any iHiiiif Ih'Iiiw lln- nttai-li- 
incnr of tjx- iiiiM'ttN at tlic iixillii, by i-iiIkm- tlH' nit'iiliir, 
fl]i|>, »val, iir nnxlilii-)! cin-nUir mcttiodji. 

Cirftdnr }frikitd. 

Tlii» iiiM'Dlion io itfiially i^ni|i1i>yt?d in n.-nii>viii{; tin- ami 
ill ilK lowi-r tliini ; a rin-iilar in<-Uii>i) of tln' h^kiii and 
inii)H>l<-H ii% tiot iniwii-, Hill! v, bvn tbr iiifT \\sif- Ixtii di»>?4i't<<il 
ii|», a nri'iilitr divtMivii of iW iiiuwb-«( \» nuiilc, and after 
apiilviiiK iliv n-tnK-lor ihi- Uinr \* miwol ibnmiH*. (Fip. 



AMPUTATIONS. 
Piu. 3KL 




circular imiiuUlluIi at the KFID, 



flap Melftod. 



From tlie feiitml {MWiitiiiii uf the Ixiiic iii tin; nrm the 
flap niethixl in am pti tilting the ami is pn^fcrrvd t\v many 
(iperatitre, TIip arm Ix'iiif; gni8|HJ bv the linncl the jmint 
of a ine<liiiiii-siK(-(l ani]iiitatiiig knilb is thrnst through the 



Fig. sst. 




AinpuIdtLoii <if Iheann by Ha |t o|w radon. (Bft^ AST.) 

iinii sii as to |i:i-s nvi r the )iiiini'ni^ anil tiiakc its exit at a 
itirn-siHiiiilin;; jHiiiil in tlie skin <in the npiMisitf aUlv ; a 
flap iif'siilticii'iil Ifii^li is cut I'niin within mttwunl. The 



AMPUTATIONS OC TllK ARM. 



477 



I 



knilt' w oext powtt'tl )M>iiiiiil tli«' IkiiM' nixl .1 iKtr^lcrior Dhji 
is lilt in th<- HHiiK- miintivr (l-'i);. '.iH:\); lliv lionf !« iii-xl 
c-lt-un^cl of lUiiHiilar ti^iip atui tlic IIii|k im n>tr»;tul nnd 
it it) <livi(lctl M'ilh a (iuw. 

Lalaiil flu|» Dtiiy Imt tnadt* in tliin imiputudon in thv 
|»Uuv uf till- iiiilcm-ii'wtt-rior tl»|N(, and tiivy aro cut rnmt 
witiiiii uiitwariJ in tlu- siiiiii' iiuuiiht. 



Omi, or ilotii^d Oval SteOud. 

Tliip> uiviIi'mI iif .iiiijtiiliiiin); (In* iinii tn nlwi r-nijilov*^! 
with mlvniitikp-. All ov.-il lln]i of nkiii niiil <i-lliiliir liwm- 
i>t ntmU' awl iliwHt-tiil up, itwl tin- tiiiwiilnr tiw-m- in 
divnUil l)y 11 cin-iiliir iiicUiKti. Or two oviil flii[Mi of nkin 
Bw) ivllular tixHUc nn* c-iit ami (litfnrcttd ii[>, iirul tl>o inu»- 
('l«M »rc uvxi ilivitltil bv a nn-iiUr »w'oc|> of tli<.- knife. 

In all iiiii|tii(iitii>nf' of (he unii i( \* wrl) (•• n^mcuilNT 

tlic |Kxvi)iitity of 11 IiikIi iltvivioii of (Ik- Imu'liiid nrtrn', 

»n<l to >^v tliiit lli<- alinttrnial vi-mc) iw |>r»)nTty Ki-«inxl, if 

pn'M-nU 

n&au. 




BiiiikMk ■ Mi«|- •i<|>llul III UWk unpHMiluii i>( IM ■rtn. (KHmi 1 

lit lii);ti iini|iuiiiiii(nH of (lie una llu'n- m .■uimt'liuti-^ iiul 
riNiiu i-iioii);!) ii> ii|>|)ly l'>»ian')iV Hlra|i or a Umniiciiirt l4i 
till' unit ilH'lf to inmtnit tin* l)iiHiirrliii|i[i- iliirin); lln? iijkt- 



478 



AHHUTATlUNd. 



Btion, anil in "tifJi <'HW)t tlm ntrap innv Ix' (MiXMi'd fttnu Uit* 
jixjilit iiniiiiiil thi' iiiili-i' (-Mil '>t' llif I'liivii-lf. jtf> ii^ <l<in«< t4i 
iiiiitni] till' lilniiiii^ iliirlii^ miijiiiliitimi lU tl»- »l)f>til«lvr- 
jiiiiit. (Fi|.r. ;W4.) 

AMriTATIO.Vfi AT llli; Si luLLKKK -JOINT. 

S(!Vi-ni] inrlli'iils of i>|)cnili[m un- c'iii])|iiy<il in itiiipii- 
lalin); at tlic ^Ixnililcr-joint, 8iK-h us t.lit- nviil irictlKtl, iir 
Iiarrev'ti nu-tlnKl, tlaj) incthiKl, LiMfruni''[i ur l>ii)>nvln-ri'H 




Ampiilallon al the Bhoul<lcT-joiul, A. Oval, or tArrey'n method. 
It. IXHihIe-nap, or IJitnnc'a method, {Stdiwn,) 

method, ami SjM'ni'c's nietliixl. (Fijt, 'AHo.) TKc control 
of tiic hlccdinn fniiii the iixillary arterv thirini; the oper- 
iitidii is u iiiiitttT of tht' firnt itiiimrtinx'^', nnd it mav be 
urn'sldl l)v }irt-ssnrc made ii|hiii tile siilx'luviHii artt^rv, an 
it enisses the first rih, with liie ihnmh, or the jwlfletl 
haiidh' of a lar^c kcv, or liv the tiii^i^crs of an asaiftant 
jinispiiij; the iixillurv fl!i|i and coniiiressinf; the ven«'l after 
the head r>f iltr Ihiiii' lias iK-^'n disartieiilale<l, or hy the use 
uf nn <'la.<li<- stnip a]){ilie4l anmiid the axilla and shoulder. 



AHPUTATIUNS AT TUB SHOIILUBK-JOINT. 470 

^Fij*. ;iH4.) H'yffA'a jiiw iiiav almi Im- cmttlin-M) with an 
I'liwlic UiIm- or hiRiii !<■ i-<iii(riil Iili-Mlii)); iliinn;; niii[>nlnti>in 
nt IIh' Hhitiililcr-jiiitit. TlicaDltTiur ))iii U juiHMtl llmiii^h 
till- iiiitrrior t'otil or tlu- axill:i :iim] is limii^m mit in fniiit 
iif thi' acriiniiiiii, (be ]KtsU'ni>r ])in i» jui>#«.hI thnui};)! the 
|MM!t«ri<>r fuid of the axillu ami is hmiij|;;iil Miind lli* aom- 
miim, ihi- nil>1)rr Mni|> or tiihr ii; then wni]>iM.i| arouiiit 
tlto Hlioiiltler hrhimt tlie pitls ai>J controls the hcniorrlwiyc 
<liirii)|; the i))N-nitioi]. 

()rat, or Larrrg'» Method, 

In ttiin indhod nl' ikni|i(i(iiltoii (Ur jmint iil' the knife is 
ciiteinl jiiMt U-li>w th<' wroiiiiiiii imMx%«<, uud a <li.-cj> 




ineiMiMt ilifM' ini'htw ill Irnffth ■«> nittUi' Auvn to tltc> Iwwl 
oi' the Ihmii* in tltr ucin of ihv nnti ; rniiu iIh- inldilte of 



480 



AMPITTATIOKS. 



thu im-uiun twiMilhrn nn- iniitlri i)l>li(|iiflv dnwiiwnnl to 
the |)oit)ip w)ii>rc tln^ niitt-rior Mml iMwtcrt'ir fnUlx of tlio 
iixilln i-ml ill tltr ciroDiv 111' tlu' uni) : tin- liiltrr inciKi^tii 
hIiiidIiI Ik- iiiily <lii'ji <'iiiiiif;!i (■> fliviili' llii- wkiii mul im|N'r- 
ticinl Initria. Tliv HdjiH iiri' thni cliNM-iinl iiji iiriltl ihr 
linxl of tJipi Itouc ill wt'll rxiHwccI, iiihI, uOcr ')|iriiitit; di«> 
iiv|Miilf uihI itiviilinR ttw nuiMflcH iiimTta'*) iiiti> the iiii-k 
mill liilH'r<>-'itii>N of llii- liditit'ni", vi'hii-li divifiioii iiuiv Ix* 
fiii'iliinliil liy roiiiiint; llic liviul nf iIh- IhiiH' ■■tilunnl iiimI 
iiiw'iinl, llii' 111^11*111-1111111011 i;> •'fitvdsl liv itililti'iiii^ (lie 
cIImu' ; ilic kriifp is nvxt |«i«*tl ilimnmiid IH-Itinr) tin- 
Imiih- hikI miHli- l<i <-iil itiiluiircl in llti- line nfl tic ouUuitHMtn 
iiK-ii'iiiti.H — nil (iiioi.stiiiil <-<iiitnilliii)£ llii< iirtcn* Iicf'Tr it in 
ilivitliil, liv |fnL'<|iiii|{ tlif uxilliiry tboiitv Ix'liimi Uic Vulfv 
wild liin iinpTh, 

Flap, or Oupui/lrm'* ifdhod. 

Ill lliin iiu'IIiikI of iiii))>iil»tt(>it nl llic sliiuildtf-Joinl tlic 
tlii|in iiiuv Im- ml citlicr liy lmii»rixiMii, or fnim HitlH>ui 

rii. »i. 



^ 



}^^^ 



rt- 



\V 



■^\5 



•:\ 



«a|iiilaUaB*lilMilMiutik>r]i.liil,liurU)U«b*MtUiii4. (BaitxT.) 

inwiird; thi' Xntfff flii|i <'iiilinii-i« tlif ifntili-r iMrl i>f llic 
(k'lfiwl uiiiM-li', wicl llw -nifllliT iir nlxirt rlnii in «'iit Iniin 



A1IPUTATION8 AT TUB 8H0ULI>KR-J01KT. 481 



I 



the iD^iidv of t)i«- arm :iAi-r thi' hcuA of lh4> iNinc liiui lievti 
iliMtrtidilaKHl. Wlitni nit Uy trauAltKirm, lli« iKiint of tin" 
knifr wtioiild lie cntcrHl an inoli in fmnt nf iIk- iirroiiiion 
|tr()r«M aiwJ imslieii ai-ntiw the oiit*T iwim-i-I of thf IkwI of 
till- hiiuicmm a»J Khiitilil la- Itnxijjlit util iil lli^ |NHti-rior 
Ibid of Uh- axilla ; tlio kuiff U nuide U) «nit douiiwanl 
UQlil » larjfp driloid Ha]) i>^ tliruml. TIiih tl«|) U itiriHtl 
ii|), and the brad of tlu- Ixine ih diHtrliuulali-d ; tlii^ kiiili- 
l)eiii)c ])laii'd iM-hiitd !t, a slioi-t Hap Li t<tmi«<<l, kii-piiijkc 
fliiw lit die Umv w> thai ttie vts«'l ic iUvhIkI with lh<- lahl 
nil uf the kiiile. ( Fi((, :{«7,| An ussi^tant should itmlnil 
the vn^H-l hv ^nn^piiig lh« a.iillai*^' lieMH-t' ivjili hin tin^'iv 
iM-hind the knife. 

Double flap, or lAnfitUVs'a MtUuni, 

In tltiH tncthod of nn)|intiition at thv sliotildvr-joiiit. the 
|i<<iiit ol'thv knifp is ententi at the outer i^ide nf the «>m- 
n>id (irmt-fw*. aitd U itirrii'tl aenww 
lh« oilier aH{K><-t of the hiinl n\' tin- 
hiiineniM aii<) liroii^hl out u liltio 
Ih'Iow till- jKHtenor tmriK-r of tJiii 
wniiuion |>nK'<-N', ami ii lon^ llu|> 
ix eut dimiiwanl. Thi" llii|t M 
tiinttO ii]i iiihI the alt«ehii)enl« 
III' (he hi-nd of the iHioe »w 
diviihtl ntnl it in ditart ten lain). 
The kiiili- inui^iin enlenii lH'hin<l 
Iil* bonr, iukI n \»n\: jnwlerior 
flap io eiil fnim wilhin iiiilvnin). 
( l-'ii; 



na. ML 



''K- 



Npmec* Mrthwt. 



Tn this melltiHt nf anijitiliition 
at the shoulder-Joint an itieiMion i^^^^^^H^ 




•IhhiIiIx- 



>IIM. SpaDCrt MMhi-L imi«' 
Mir.) 



i.-i nuideihmii to ihe htii<l of iJm* 

hiiiiuTiiH iniiiuitialely io front of 

the eiiro'iiid |>n»i>M, ai)il Ik mnliniieil dowiiMard llir>>ii);h 

Hw ehivieiilar lilintt of ihe lU'ltoid itiiil the jtii-loniliK 



•182 



AMPUTATIONS. 



iiuijor niiMi-lra imtil iIkt iittw-titiiviit tit' \ltv liilt«*r Id iIh 
liiiiii«-ni» i" mM-lmt, (Fijf. W>i.) Tin- iiu-iHtun So iii»w 
(nrriol iKti-knititl lo tin- )HN>UTiur t<>li) of llii- iixillR. \ 
ptittwl i Ill-toil >it, iiti-lii'liri); oiilr t)ir ■kin iiiii) •vlliilur 
(iwm-. ii> m-xt iiiiulc rmiii llit- niiu-rior ]Nirii«m of llif tind 
incl»Hin nrniw tin- iiiHtlt- of tltf Hrni to inivt iIh' iiH-iiiion 
III) iIh' oiiliT luiri. T\w iHittT (lap Unix foriiKil ■# Uintrtl 
ii|i uttil l)i<- liiiiil III' tli<- Ihiiio U itiNirliciilnUti, iiihI llir 
ii]H'rtil!iiii ii> iDiiiiili-tatl by iliviilin^ tliu rciimlning liMmiw 
till tltt* tixilliiry (u^iHt-l. 

Miiiiy t>tliiT iii<-i)i<hI« III' n-iiioviti^ iht- arm nt lh<> 
^httnMcr-joint Imvr Ixi'ii tlfviMtl mid fiii|il<iynl, iucliii)iii)i 
iIh* rirfiiUr nuMtuxl. 



AhITTATKIN AhtlVB TIIK SlItlCtJlKlt-JillNT. 

Ttii)« form of iiin|i<ttnlt'>ii cniiHiHlM in iht- ninovnl of tlti* 
arnt witlt it {uirt or tin- u hole of the Mtiiiiiliiniiil w>iiiHimi»i 
a |Mirti<)ii of Uif i-liiviflr. 

Ax ihU form nf iuii|>iiliitii)n In tYN|iiinsl in iiimw la uliii-h 
tilt- liurntlioti tif lite imrtu tuw jubwil licyoml tlif NlMmlrl^T- 
juint, or in (iLots of pt>wtliH iiivolviii|f tlti- liwoiiM Iwyontl 
Ihf joini, no ilcfiuitr nilf <iii) Im> liii<l dnwri for iIh- in- 
Hiiiiinx : tin- otilv mil- iH-in^ iih fur lui |Mirt<il>lc lo niiikt- llif 
iitinxionn ill Mii'Ji It iininiii'r iKiit llu- Itiut |Hit«iili|t- niiiouiit 
of tkin ix mi -ri Hill], hi tlmt ii HuHHt^iit imvrriti)^ lor tlir 
wttiiitil iini Im- olilflincd. 



AlII'ITATItiSS IIF THK ftufr. 

Am/ttUafrnM of the. 'Ion. 

Tltt' |>IiiiIbii|pw itf the tiMw niiiv \w n-movitl in ihf mim- 
niiiiintT ii!< ilioM' of lilt- liii|ft-r>. It ix U-fii-r lo iuii|HilitIr 
nl tlif iiifliitur>-o-|)liiiliiiip'iil iirri'iiliilionn lluin lo utiriiipl 
til ntiiovi- ttii-ni 111 lli>- Joinii' ill fniiit of tlii» iirlii'iiliititin, 
psti^d ill llir case ofihi- Kn«t tix-, iw itif iin-xcrviilit^ii ofd 
iMirlioii iif n tof in nilht-rn iliM^mifort llinn hii nilvautiun. 




JtHfUTATIUKA Of TIIK rOUT. 



•I8& 



icniit ill the iiiT^uxr nuiitinneiL All ini-ii>ioiif Kii<>iil<l 
Ih- tiiaili- Mil ttiiil tlif r>-:«ill(iiiK ciculrix <(mv li<M iHiiipy (U<' 
litniiliir MirltMv, iin<l it Uut-ll tu n-itii-iiilNr tluK the hi-ImiI' 
t(ic tiHTi U(i>u»i<k'nil)lv Ik'Iiiw tlK'jHiNiiioii ifritH'iiK-litlnixi- 
Itliitliingial joint, {i'ip- '•\HV.) 



rbh wk 




■MhIom ut wtb «M iBvtaMnv 
|»«htwl JatnM •! ion. tBmt- 




Im M tM tor iMpuMlMi «f loa bM 
wMUatMt bom. (SniMNLj 



TIk- )<)•■« Riy ii»iiul1y n*iri>iv<<«l liv an iiwiKion mi titr 
ilorxiil Mirliin' » iiirli- niHtvi- lli<- }iiiiit, wliivh is mrritil 
'iiiMii llir Ihidi' for iil-iiil till iiwli mill itnti ilivcritts into 
llu! vifU, niul if! <iirri<'(l iiimIit lti<' Km- uuil Imii-I( iiii tilu 
oduT Mill- (i> tlir |Hiint nf ■liv(<r)rrm'<>. (Fi);. •tKlt.) 



iU 



AMCOTATIUNS. 



AmpiUatioti of T^no A<^oiHittg Toa. 

Tlic Hnraul iiK-iHioti HhiiiiM [w [Quilv in tlic tiitvr- 
iui.'t:itjn>ml s|i(iw jiiftt. iiImjvu rliL' level of the joiDl (FijS. 
:i!HI, if) and iiirrini ilnwn tc tin- lK'f;inninj; ot' llie web ; 

llir-li iiViT llll- loc tri rln' lM-j;illliili;r of' llic luijoillillfr wrfl, 

iiiiif iimltT tlir |iluriliir siirliu-c nl' iHttli Un-s ui tlic line (if 
ilic •ligitii-]iliiriiar fiild, tlimugli (tie wel) utitl Uu-k lo tliv 
[loilit iif iHverip'uee. 

AmpiUallmi of Uie Great Tot: 

Tliii4 tiiHv tN'ac(H)n)|>lisl)i-<l hv tmiinriiifilienK'ketti)ia]iMl 
inei:*iiiii cni|il.iy(il in nm|iiitiiti(in iif rlir ulln r tm-s. iir bv 
rniiitis ol' i[ lal<-ml H;ij>. In llic latt>-r --.t^' tin- knife is 
made to ent«r tbe joint by eiitting through tlic oomioissure, 



no. S8I. 



Fio. 3tn. 





AmputAlLon or Ihe great Ux, 
(Smitk-I 



Incision for ampulallaa of all Ibe 

Uhs. (Rmtth.) 



iiml the <t|)enitir>n is eoinpletoil iiy cjirrviiig the knifr 
tbn)ii;rli tlie j'liiit :in(l alon^ tlic iiiilcr wide of the bone, 
forming ii fliip of tlie re<|iiired siw. ( Fig, .'191 .) 

In Ibi.i iinipnliiliiin a Hhort dorsiil H:i|) mid long plantar 
fla|> m:iy Ih' ciiiiiliiyetl, iir u long internal Hap niav be iiwd. 



AMPUTATIONS OF H8TATABSAL B0NB9. 48G 



AmpHliitimt of AU the Tof*. 

To iitujiiit»i4- nit llic ton*, iiiakr a dorsiil Iiit-iMiin tmai 
till' IhiuI 'if rill' tiflii 111 itti' htiul of iIh' firsr i)K-(aljir»iil 
Ikmk' : till' iiK-iniiiii should Ik- h iitr\'iil oik- |HL-<:iii)|f just in 
(ttmt of tW jiiintR. (Fig. ?AV1.) Di^vt ii|> tlx- Itaii and 
i)M-ii till- j(>iiil:4, clivi<linic llh- Inti-nil liiCuiiH-ntn, iimf [kihh 
Im- kiiiri- iN-liiiiil tlio jiliHliin^^ iiiid riil n (lii[> tVimi tlit- 
lilniiljir Mirfiui'. 

AMI'llTATKiNn or TIIK M tTTATA IMA 1. tbiNtX 

ll \» Ix-lliT in tl)i-«- .iiiipiiliitioiii' In It-iivi- tin- turMil liiw) 
i>f lltf im-Utorwil Ihiiii' tii |ilii4-<- iiixl iliviilt- llir Wmv. nr iii 
otJiiT w'linU 111 ilii ill) iiiniKiKiti'xi in t'outi unity to |>n-v\nit 
')|H-»iu); (i|» lh<- Inmil iirti(-iili>ti(>n». 

Amputation oftht lUrtaianal Bon* of the Great 7W. 

Ilii- tni-i.>!iin Ii>-;;iiif'ii|Mitj ilii- ilormi niirfiwi-nf llir im-ta- 
tiir«al !■>»(-, II liltli' Ix'tiiw tin- jxiini nl Hlii<-li iIm- Inhh' id 



mi. I 




Aapuiuioii or ik« ivMl M aad ilni m«uiMil tMt* (aMmi 

111 Im' tliviiKil, mid \* mi-rir*! flomi Ik-Idw tin- tiM-tntjirwi- 
|>Iiiiluii|:i^il joint, llii-n iliM-r;;i-H lunl imwt^ itiidir Ihr tiw- 



484} 



AHrirTATIONS. 



iind funuw luu-k ii;(niii u> lli« )Miint ut' tliv<f>?'<>iv. (KiK* 
;190, C:) Ttw* Ixmc ix cxix'-xil i»tnl ciil l))niij)>li wirJi i-iii- 
tiiiK fimt'iw iiikI in (livn liftail ii|> inxl diwtvUMl Iimm- I'runi 
llii' liwiint. (Kiff. m^) 

j4m;>ii/afi')n o^'fAi- /{ffA MHatarmxI Bom. 

Tlio incision f«r tlip removal of llic fifth nu-tjiiurhBl Itiini! 
i» tniuU* ov4-r tlie lioiic :i littl<- Itelow tlit? metalur^f-tiirMiil 
nrti dilution, ami is curm-tt doun und curved urtHiiHl \\w 
to« (Kip. .'(90. /J), and aftw the l»nf is expoeod by dis- 
Mvtin^ Inick tlic fliipfi, it in dividol, or t)H> juint U oiwimmI 
iiihI il Ik disMfiiil <>nl. 



Amputatiott 7%rot^ the Mdalartal Bomx. 

Ill iH'rrnniiiri;; tliit> niiijMitnlinn an inriHiiMi tx niailt- 
IMTIM44 iho duniiini ol' liic f<Nit iukI ii nliorl dnrsHl f1fl[> is 
di^Moiitl ii|i; llif nicditiipuil iHUHf :irf ncM divid'-d ivltli 
u mtr Bitd u Inn;; |tlaiitiir llnji i" i-iil Iniiii williiri iititwitnl 
Irr viiti-riii); the knife In-liind iIh- cihIk iif thr Inkhii. 

Tnrm-mriainriiat A mpuluUoHt. 

In all uiu|mtnt!iins of lli«' f(N>l involvititc llii' tnrsuti thv 
nurtriioi slioiiM Ik< tlti>ni<t;[ld\ fiuniliar uilli the auntouiy 
itf (lie fiHil und till' Ftiir);itiil lundniurkii nf llic difTcri-nl 
iirti'-nlationH. I nliall n-fi-r (<■ tlmw laid down liy Mr. 
Bryant, wiiicli an- ax fnllowa: 

"On tlir fMnrrMtilvof till' fiwrt mil far frriui tin- tumT 
iiiiilUHdnM till- tnlM'n-li' nf the imii|iIioh] {V\ft. ^M A), in tii 
Ik' ft'lt turn iiiarkitl |tniiiiiiicii<v ; hImhiI oni'-lmlf an inrh 
in fninl of t)li^ will U' foinul tin- articnhiiioii uiih the 
i-iinciforin hone | A), ami ow im-h in fmni of ilii> lin* wiint 
wliich the f^iirx^tin will havi* to oiMn in I.Ufnitic'fi or lln''^ 
o[H-mlion {C); jimi nlwivc the liilwn'lvof ilir w-iiiihoid will 
In- fonnd iIm- artii-nlation with lh«> antni^iliM, ili<- litM'iif 
CtloiMrlV nin|»uliilioti {l>). On llx' imUr «tdc of th<' frwit, 
ont- im-li U-loM ihi' fxti'nuil niitlhiihin, a nhaqilv dcfinnl 





AMPUTATIONS OP THE fOOT. 

j>n>3<i'tiiii) will aluiivs lie felt, wliirli in tlit.- iM-n>ii4til liilivr- 
<■!«■ (A"), onc-liair »n inHi in fmiilof tliiti will W- fmunl tho 
jiiiiil wliiWt M-tKiniU-s tlw <« «ilci« fn>m the riilxtid (F), 
thinjiitiii lomiiii}; (lie iHiicr dn'k> b> CliojuiiiV un)|itita- 
tioii. Hall' 111) imt) in I'ruitt aguin or nue im-li (mm tbt) 



PllLMt. 



rra. «tt. 









liwlilmi ltir-4. I JaAwirr'f am- 
Uml (SrawuK.) 



tiilM-it'li', liti< jirttinitM-tHi- iif ttic flflli itiHiiliinml lK)n<' In 
ulvriivn ti) Ih' Ml [II), l)ii< lino nIhivc ttiit> |irttiiiiiii-iia> 
indidiliii); iIh- nrtlt-iilnlioii wilti ilii- iiilMti<l ImtH', vrhirli 
(•iniix il)t' oilier Iciiiiiittir)' of llir ii]i'i>>i>ifi f>ir IIiTr'a or 
lil>>('niiii-'H niiijitibilitiiin." 



488 



AMPtlTATIOKS. 



Tarao-auiaim-iKii Ampt^ationa (IJtfrnnift). 

'rill* IiiHmoii for thii iinipiiltition i« n nirvrtl onv mrrinl 
ilcnnw llif fltirHimi of llic f<mt fniiti On- Ixwi" nC llic fifth lo 
till' luiMc- of till- tirft iiH'liirurNil t>oii(-. <Kif;. 'Mtr,, A.) '!*)»• 
irKUMnii !"liiinlci iiivolvv ill!' -kill only, itf if nlit' lyiiij; Italf 
nn iiti'li or nuin- In-Iow iIh- tvinn- of (In- lim-of tlii' iirlini- 
Iiitioiin, iinil it dIioiiIiI lieifin iliu) riul h1 flic nitU-H of tli«- fitit 
Hi Uioir jniK-liiiit uilti itif miU-, A )ilnnljir flnii 4ioiil<l In* 
inark<<<l out )>v n i-nrviil itii'ii>iiiii cmviiiij; tin- hiiIi' of ||ii* 
ftHil tiiiir iln- iirijriii of tJii- Iik*. Miirliiij; :iinl •-iMliii^; ni thi' 
Miuiii' ]H)iii(.4 tiJ* till' (l<ii>cil iiii-i;<ion. 

Tin- iIoishI Dji)) i^ ni-xt iliw-ri-liHl )qu-k U) iho liiH' of Um- 
arlirulalioiui ; the IvihIoiih, mtuciiliir SlirtM, ntMl ftufiu U-ing 

no.iM. 



^ 



ABpUMUoaat laMHMMcuMDrtnMlMMiHrii. (Mn,( 

ilivitlcd, tJic joiiiti* 1n'<w<<«-ii llii' tnrml wid nnHntiinwl Imi 
iin< ii)N-iMil « ilh n Mntit, tuirrr>w-liliulnj kitilV'. I Vtfi. IKMi.) 
IWfflciilly tM wiiiii-tltiM^ i'<ipi'rirfiii<(l ill o)miiui|i xhf joint 
lii*tw<i'ii tlif hinil of Miiioil tii<'ljiriir>tiil liiiir mtil l(i<' iwa^MiiI 
i-iiiH'ifonii loiiv. nhii-li ■-i-iijiitii n tHHirion liiKliir on tin* 
ltM>l tliiii) llir olliir nrlti-iilatiiiiio. Tlii' iliMirtii-iiliilion naiy 




AMP0TATI0N8 O? THE KOOT. 



48i) 



ilIho bo fiicilitntcH l»y fon-ihiy dcprntttin); tlw antprinr |Kir- 
tinti (if ihf fwit. AlU-r nil iIk- joiiilA liuvo Ixfo ii|>ptiMl, 
(Ik- kiiift- U juLr.-'Cil behiiiii l)ic cndH of tlio iiiftaliiixil IxiiK-fl 
hikI il |ilHnt»r titiii if^ i'»t fmm within outHiinl. lolluMing 
()ic liiu' of ihf iiu-i«ioti previously iiuirkecl out, Tlw 
lilniilMr llii|> innr U- i-iit from nilliont inward if ]m'fiTn>(l. 

Tiino-mtttitantal Amptiiation (ffej^i). 

Thf liiif of inH-itoii an<l tlit? nli'|w of tliU oiH-nilidii nw 
Ttimilar to lUm*- in l.ii^fntnv'.' iiiii|>iitnli>iii, n iili ilic i-x<vik 
riiiTi ilint Hov sflMiil nft' tlif jir'ijrtliti^ |Hirliiiii of u\v 
iiitLTiml nm<'if<irin Ixiue :incr iltsiirtii-iiliitiiig tlx- iiii'ta- 
tiirHnl iKmnn. This moditii-ntiou, ulthoneh it itii|>n>v(« tlw 
ii|i|H'uniiK'f of ihf. sliioip, [KMitM«MM no aiivaiitai^st ovnr tJtp 
|ircvitnw proot^Hiiiv. 

Medio-ianat, or OioparCt AmptttaltOH. 

\a thin Hiiipiitiition thi- iliMiirtiviiliilion in through tJiD 
joiiitii fnniiiil liv ih>- niiini)^iliiH mid Mdiuiiiiirii Ix-liitKl anil 
tlx- n-iiplioiii itiid diliuid in front. An iiti-ision in made 

rM.wx, 




Una «f larUbia hw-j. rtwtw*'* MBfMaUM. «. irnw-ii aMpuHllML 
C. aMUM ct UuH III Ktmii ( BHimMtuu. A — >-— rw'il-t mtfututoa. 



490 



AMPUTJlTIOSa. 



I'mui the tiilicn-l<- ut tin- M-ajilMml ni'i'<v^ iIm- iliimiiii] iif 
the t*>nt aa inch in fmiil (if th<- Itood of t)i« aH^ni^iiit ta 
the lowpr ami nni<rr Ixuxltr of llie cubotd. ( Kig. .•(117, A.) 
TliP jilaiilar lla|i U next luarknl oul by an iih-iMoii l)r):it>- 
dini; ami iiidinjt at tli« Hutne jMiiiilM as llit> limt iiK-itiiuii 
and i-rotwin}; the wdc of tht foat four or livi- tiiip*r- 
hn«dll»4 ai-arer tltc (nes. Thi' dor>«l Haji u Di'xtiliNM'ctM) 
np, awl afU-r the leiiduns and faitcia )uiv<- Ihvii dividi'd 



PiaMs. 




Cboput-a aMpaUlim. <Mr«)n.1 



the jniitl in o|>etiwl and n ptaiilar lla|> ifi <-iit fWiiii within 
oulwnni lolliiwin;; ihi- line cif tiie |>rcvi(iitsly iiurknl out 
|>liu)tiir int-ifliiin. (Fit;. -IW.) 



SulMulragafoitl Ampviallan, 

In thU amputjitioii ull tlti' tximw of llic f<>>>t nn- ri-itM>V(<d 
vxrrtpt tliG iistnqtaluK. Ati iiK'tMitin h> iiiii<I<' tHvi lining nii 
iiu'h Im'Iow tlio lii) of llu' fxtcnml inuU'Hilii- mIui-Ii U rar- 
rittl fnrwan) to Im- Iuim- of the liHh iitrKilanoil txmr ; it ■•> 
tliL>n mrmtl »vvr llic tlomiin uf Uic fiM>i lo tJit^ mUnnro- 
«iib»id nrticulatiim. {Fip. :(»", A) Tin- joiuttt U-Hnwn 
thi' M'a|)lioi<] and lutnif^ilntt and )M-tiiVi<i>n (hr HAtrngnltW 
and itili'iti an- o|K*i»ii. iim) tlx* Inltcr Ixinv !>> mn lidlv dto- 
itofhil oiii ; i)k- li^tiK'ntn an- dividi<d luid iIh- n.->lnigHluM 
only isnllowwl to nniuiin in plauo. 



AHPOTATIOKS AT THK ANKI.C-JOIKT. -191 



AMPtn>.\TIONIt AT TDK AnKI.E-JOINT. 



S^e'» Amputation at the AnUe-JoM 

In llii» iinijiiiUition, Uitr Coot l>i-ii))j; al » right anf;(c to 
tlir U-Ti, uii iiu-tHiun U uuulv t'ruin the (viitri' of* one nuil- 
Iniliit' din-rtly at-riMs (Ik- wIc of tin- fimt to the rentrp of 
llic <>)i|Hmil<- iiiiilk-<>lii>>. (Ki^. .'197. S.) The tiwtK-.sof the 
litfl lire iit'xl i-an-liitly ilj^^vt^i'tiil fnim iht- Ikiih' l>y ki-e|iing 
till; knifi- rUnK- to lh<- ossiiiiio ftiHiitx- until thi- tiiW-nieitr 
Iff titi* (w lulciM is fiiirly tnniiil. The two cxtrcniitici> uf 
llio fintt iixHoion iin- then jiiiumI by u tianavenv uiu' iutmb 
lite ilitil4't>, »n4). the Joint Mhjs o|ivn«<«l. the luteral li|ta- 
aieiits an- lUvtfht) to <xim]ilete the <Ii«inietiliilioii. (t'lg. 
399.) The kntfv w next iimiI tn eltnr the malleoli, ami 

ne.M*. 




H)riiM^(HB|nUillMiM Ihcanklt^nl. Itttn.) 

thev urv iu!Kt ntniuvt<) Uy the cnw in tlie line tiHlitiitcd. 
(KiK.:(«7. C.) 



AMPOTATIONB. 



I'irogoff^g AmputnUmi al the A nhlf-jotiil. 

In this ampiitution lliu iKiHh-nur piirtiiin urUie ds tmli' 
is iT'taiiicd. Tlio indmioii w iiirrini l'n>in tile tip of tl 

rro, «D. 




PtTOCoITi ampnlktlon. A. Cnlaoeoiu Inclidon. B. L[ne of Ma^on of bone*. 

(SlIMSOK.) 



no. 401. 




Aiiphi'jiliini «■! Mtu IucmIcIh hi I*iniei>n''Mam['uU1litiL iKKli^HPCS.) 



AMPUTATIONS AT TRX A NKLB-JOIKT. 493 



I 



iuiKT ninlU-nliH, ovit tli<- !iiM<'|), luilf iiti iiiHi in rnml of 
tilt- nnlcriur tttp- nl' t|i<> liliin, lit ii )M)iiit luiif an im-li iti 
Initit III' ilic iii> itf lliv oiiItT iiiiillitthin ; n •Miviiut itH-iciuit, 
crcxiiii)^ till- Mill- lit' iIk- I'lMit iiikI ntrritil ilnu ii to tli<- iMitu.', 
ii> iti'Xl DimK (l"'ij:. nil, A.) Tin' |ili(iil!ii- Ituj) U «li»- 
wx'tcH )uu-k liir a c|tinn<T ut' iin iiii-li, tlir joint in oiHiiif) 
liy ilividiii^ llif liiii-nil li}'iiiii<-tii!*, nitil tlic iivinipiliw i» 
iliwirtii'iiliiUHl, iiiiJ titc tnNlliiili iin- I'xiMiKtl. A niirrr>w 
!<ci(V li iii-xt .tii|tliixl to eIic ti|i|H'r iiix! |HH>lcrii>r juirl of tlH> 
iiili-titu'tiiii Ih-IiIikI (III- :inlni):nlii!i, iiikI il ixliviilit) <t|ilii|iii-l}' 
ilowlMVitiil ill tfic liili- nrtlic |iliiiitiir ilirininii. ( Ki^. Utl,) 
Tin- iimlliiili nmi a lliiii sliifortln- riliiit nrt- licXl Wimrtttl 
wiUi till* Mvr ai* in .SvntcV iuii|iiitiitiiin. (Vig- 31>7, C.) 
Snnin Miiiycon.4 dn not n-niow iIk' niiilliiiti, Imt pmm tbc 
Ninoc) Hiirfiui- III' tli4- iH^ iiilrii^ U'- 
tn'Mii llH'ni wlirn it is iHiM)itili< to na-tn. 

(In M>. TIk' iHniliim of tlii* <h> itili-U 
in rvliilioii to tin- liliia iiOi-r iinioii 
liiuotvitrrcd, inHlionn in Fig. -10:!. 

J?Mur'« Amfinlation al Ihe 
AnUf-jaint. 

In tliiii mrltHid i>r»ni|mtalion an 
Incision Ik uindi- iit tlio ont<-r o<l)^ 
nl' the tvnclii Ai-tiillU, a tilth- alwive 
itfi tiiM-rtion, nliidi ia larrii'*! fnr- 
w»r<l niiiliT till- iintor iitalleoliis, 
iiikI iicniv* iIk' InMi')) liiitr an tiu'h 
in fmni ol'ilu' unurior tidp' of tin- 
tiliiit, iin<l linck to ii [toint jtixt iu 
f'nini III' tin- inner nuillt-uliiiK; (lie 
inrixinn i" i-urricd I'min thin |toint 
dovriiwiiixl anil |>»r(l_v a<-riMH the 
Hih' of itii- fiNit, iind ihi-ii Uu-k lo 
tlir iiriKiniil iiii-iMiin. (Ftti:. -t'l-'t. 

n|i fill- II -hort ■li^l:ln^■^■. tlir :iiikh-ioint U ihi-n o|m'IiiiI. ami 
till- ilimtrtii-iiliiiioii im cfTivKtl, iui<l tlic iulcniul lUi|i i" •tin^- 
fnlly diMM-t'lcd fnitn |Ik> lainrti. 

SS 




tnka Utims vlfanMiu 
uid lIHa Ui niMliiT* umfm- 
latlou. (lUmM.i 

llti' iHiiiil of oHnin III' 
Till' tliii>~ iirr di^Miiiil 




XUPVTXTIOSS. 



OtUcT nietliixln of am|iiitali<)n of iJie foi>l »n- Mtmnimvn 
i'm|il'>'iiil: KiK'li.fiirinstamv, 11.- tlmlailvid'uii-dliv llanrfri, 
wli'i lia." i-"iiiluii(.i! l'irt>p>ll"-'i itiiipiiliilion mjiIi the wiil*- 
aHtragiiliiiil nit'lii»i], lirinpng lii>' rtawwi ^iirlai->' iif tin- im 
I'al'-is ill (imtat-r w itli ii tniiifiversf s>^-ii<in »( ilip u.-iirag:iliiB, 

IlaiiuM'k hiu^ aiivooattti Iho pnitirielv of aiii|mratinc in 
thn t'>n>t witlifiiit regiinl Hi tlip [MHtilioii of llic tanol jointit, 
I'littiiig ilif (in[t^ nf Mitfioifnt length ami <liv'i<liTig Uw 
Im)I»» wilJi a rtiiw. 

fia.*M. 




4 



lacitAaas In Rnux'a aiaput&Llun. 

Tripier liiis iiImi tiKxIilit^t) (lit- siili:istni}rii)'>i<l nm{>titutioii 
\>y loiiviiif: tile upiMT |i!irt of tlic cnlr.iiH'iiiii, w liicli Uv waws 
tliniii^ii on :i level witli the Fiii^Unuoiihini tali, and at right 
anglcH to tlic axis of the lej:; the e\tornal inoisioiis arc 
niii<li' an in Cliopart'ri ain|>nt:ilioii. 

Ill t)i(' nu'tii(Kl ii(lviH':itc<] l>y Mihdkz tlic aitragalii» and 
i^ili-iiH'iiin an' rciiiovi-il, the i-iiils of the li))ia and tihiila 
an' sawed olf, and the sjiweil siirfiiee iif the .seujihoid and 
eiilxiid iire a|>|irii\ini:itotl Id those, the stiiin|) n-snltin^ ro- 
semhliiiji tin' f wit of ywa eijiihitis. 

AMiTTATlllNH l>V TMK. IiK(;. 

The lejr may Ite atH|)iitatc<) at its lower, middle, or u|»]»er 
tliini, die rule Uiu^ lo 8ave as iniicli of tlu' limb an j)os- 



AHrUTATIOKS OF THX I.K<1. 



49ri 



■ililir, Imt lo" ivjpirili (lii':i)i|iliiittiriii nl' |initli<'ti<' iiiijuinitiiw, 
1 iliink llii' Kitiiiijw r<-"nl(iiit; riMin :iiiij»i(»iiiiii» in tin- 
miiMlf iiimI iiii|M'r lliinif will U- fotim) iii"n' Miti><liuior>'. 
It is wi-Ii iiliMi in Kiiwtit); l)i<* Imiik^ io iliviilc tlit- libiihi ut 
n Mli);litly Iii^Ikt )ta>int Uinu tin- tiltiii. 

Antjtutalion at (A* L<ne<T Tftint of the l^j. 

At tlti)« uoTiitioii tlio k-^ iiiity bi- uiniiiilulctl Uytlivcir- 
ctiliu*, iiHoriliMl ciri-'dliir, or dliplirDi] iiii-tluid. 

(Sivutar Mdhod. 

A c-iitriiliir iiKtiaitiii \s iiuule <tini(t|ili tlio !>)ciii hihI oiiu- 
ntirlivo tifniic jtLit iiUtvi' the iiiatloi>ti nml the i-titV la <li»- 
wcUiI ii|t lor u Hiilliriftit i)ic<liiiiiv, and a lin-iibir iix'Uioii 
nl' tlu< k-twlunii anil iniiicli-s is iti'xl niudf luul tlit.- Iimmimk 
U-iiig ivItiiiI*'') till- Imiix-i iin- iiivttli-<t witli a suw. 

Mmliffi (^reitlar ifdht^t. 

Ill tW\r- tnvtlxx) <if ninpntiiliuii uf tin- k-^ n rirciiliir iii- 
ri-ii>n of iIk- I'kiii iin<l cminiitivt' liiwiK' ui>il two kIiiiH 
Inlrml iiK-i-ions tin' niiulc iiix) iIr- IIii|h iin' iUomHihI n]i li> 
tlu> viul of lltt' iii4'ifti»ii», itixl II dn-tiliir diviisiuit of i)iv 
iniiK-k'« M hfxl inuili-. {i'tfi- -tO-l, /I.) Orovul ekin i\n\M 
iii>' iiuulrniHl (li-uu'iio) up, :in<l the lifwiK-H arv ni-xt ilividoil 
ilowii tu till- Imiiu' liy » I'lrt'iiliir inriitioii iinil ihi- Umtw sru 
divitktl with a •aiul (Fig. -KHl.) 

£7ftpfM^i/ JleOtod. 

In lliifi tut-lhiMl of :im|int]ttion iIk- invUion h in (lit- form 
of nil cllij^'c; it- lower i'niU'n"-j«^ ll»' li"'! Ix'low tlic iiiM^r- 
tioii of titc tcinlo Ai'Iiilli-' unil llii- iipiHT «-ihl of iIk- iiici- 
vion i>t iilmiit an in<*li niHivf tj>i> iiiiti'rior artiiTnlitr tt\gi- ut 
til.- lil.iiL (Viji. -UW), ft.) 

Long Attttrior Ftiiji Mrlhod, 

An nnti'Hor I1i«)i <<<|iiiit in liii^li Io tin- iltnntctrr of tlir 
tty nt itM \«M*v M niiirkt'd oitl liv u iiir%*i^l iiiditioii ihntiigh 



496 



AMPUTATIONS. 



^1 till? skill lH>^ini]ing nt the |ii>rtl^riiir vdjcv •>(' tin- tiltiu tn 

W the inniT nUU; a liiili' U-Ilw ihr |Hiitii ;ii wlui-li ilio Ixiitu 

I lilt' t'l l><- iliviiltsl, iiiiil i^ nin-icil nvcr tlie k-j; t'l n (n>int 

I dirwtly i>|ijHwit« over lln' lil'iilii. (Fi(t. ■iO-i, .4.) Tli< 



Km. tIM, 




AmpLitatloiL or the Wif. A. 
UocIIAed clrrulHrinetlind. H. 
KCCUngUlHr Ul(|). L\ ADlcm- 

poiterlor Dap. (StiiihiN.) 



Pia.«&. 




Aiii]iiiU»lan or (be I9. j. 
Liiriit Anterior flap. B. Baptm- 
toHlluolir Iciug poaMTfoi Bt.f. 
C Al u|ii«r Uilid. <8tuboh.) 



AMI>DTATIONS OT TBR LKO. 



497 



iinlcrMff miM'tiv nrv ilivlilitl trIltl^v^•P^■lv hjilC iin imJt 

iUmVU IIiV InUlT fitll of UlC IlllJI Illlll KIT- ilitwrctt'*) rnuil tllV 

Iwrif Ui lltu IniMi- uf tlio Ha]!. 



irM,M. 




fml tUnda(a»lihalmil»illrlil<Hiaf ihr ni. '•)•-<. 

rhv ]H«(i,Tiiir H)t|i U tlicn iiuuIp Iiv riiU'riii); ll)t' knifi' 
iM'himI ih«- iHtWK lit tlu- |><iiii( uf \Uv uri|;iiiiil iiicL^ion uud 
rutting; dintw-llv niilwiinl. 

Long Anlfrior Rretanffular Flnp MfthwI. ( Tmlr.) 

In lliiK mt'lltrKl of aiiiiiiilJiliitn of the U-g nn innMon 
Hjiial ill li-i);:tli to liiilf ol (lie rinijtnfi'n-iui- uf (Ih- Ic); tn 
iiiiiiU- f'niin tlic iioiiK III >vl)k-|i the iMniti' iirv lo !■> iliviilitl 
on oiM- niiU' (tf UK- l(v nixl is larrHtl arnmi iIk- linili ami 
Inn-k iiiHtn (hi^ ii|i{H»iti> hiU- to ii jHiiiit ii|>|H)t>il« (Ik- [H>ii)t 
(tf Klartiit);. Tlir- (!»[> iIkik marketl mit if. ilitwt-tt-*] ii]i In 
iti* IniM' ntiil n ixi^Icriiir tliiji iif i>m^foiii-||i tlx' 1i-ti|^li ip' m-xl 
(-III liy It Iriiii'Vith- iiK-HiriM ittiwii to tlit- Ihiik-m ami i» ilio- 
•Hi-lifl Isu-k III till' lini- of iIh' ori);iii of llii' fii->l iti<-iM<m, 
|Ki};. 4<M, fi.) Till- Ion;; (liili in iii-xt dotililiil lufk iiiiil 
itit nlgt-N i<*-<iin-)l Id (lit- jHiotcndr Hup, or tJii* long llii|i miiv 
U- oilf fiviiti Um' {M^trrior !tiirfiin- of tin- l(<i; mill ttii> uliurt 
tlnji fnmi l)ti- niili-rior xiirfitiT-. 

Aaim-poMrrior Flap MrthnMt, 

A lon^ nnlrrior Hn|> iiu-litiliiii: hnlf of lli'-<-imiinft-n>im> 
of llir limli iiuiv Ik- <-iit fti'iii u illioiil iiiMunl, (uin|iiiHi-(1 of 
likiii, ('ontM'ilivi' lii-iic, iiml inii«-lns nml a -iliort jiofU-rior 
lliifi ml fnuii witliiii oiilnurd ni»v nlm Im- <m|>luyn]. TLn 



AMPUTATIOSa. 

OlIkt iiiHlnyls i>f Hmpiilatiim nftlx' font art- winiplinir!! 
t'niplijvixi ; wiKrli.fiH" instiiniv, iif^ tliuculviHiik^I Kv //rmrodt, 
wliu liii« rtiiiiliiriL-d l'inii;iift"rt ti[ii|iiimtii)ii' wilii llii- siili- 
ast.r!itr!il<ii<l iiii.'IIiimI, liriiijriiii; lliu wiwttl -iiirfhif of tlu' (» 
nilfia in I'Diiliu.-t with ii Ir.iiisviTfH.' w.i-tiiin ot'tlic lu'ira^liis, 

Iluiii^ix'ic liii>' uilviMnUnl ilie |iriijirioly of nniputatin}; in 
till' tiwit witliiiiit H'giinl k> till' |»ositi(in ol'llu' tnrxil ji)inl«, 
ctiltiii;; iIk- llujis of Kiillii-icrit k-n^'lli niiil <livi(]ii)g tlic 
Imiiim witli a mw. 




Indxloiu in Koux's aiii)iuUItiiii. 

Tripiei- has a)Ni> mixlifittl tlii' siil)astra)ni1'>i<l ampiitatiiin 
by Icavirijr tlic iipiHT [mrt u\' tlii' ciili-.iiiciiiii, wliitli hf nawn 
thnHi^li un a level witli the siisteiiiu'iiluni tali, and at right 
aiifr'fs tt) tlic axis of tlic le^; tlie exU-mal incisions are 
made as in ('liopart']^ anijnitation, 

In tlif nu'tlioil iidvcH'sited l>v Mikulicz the astra^luii and 
eahimciiin an- reniov(-<l, the en<1s of llti- tihia and tibuln 
are shmckI of}', and llie liinved snrfa<'e of the sviijihoid and 
<'iil><iid are a|i))ro\i mated to these, the stnnij) n-snltinp re- 
acniblin^ the fcMit of i>es fijniuxu. 

Ami'I'tatioxh ok thk I.k«;. 

Till' lej: may \v ain|intat4-d at it-' lower, middle, or u|>pcr 
tliini, llie nile Uing to save n:^ miieh of the limb an pos- 



AXPDTAT10:fS OF THR I.KO. 



406 



sililc, hill tw ntiuil.'- llif n{>jili<itli<>ii nf piiirtirlii' ii|>|Kira1ii«, 
[ tliiiik llic -itiiiiiiw n->iiliiiii> rniiii iiiiiimtnlinii.v in lliv 
iiiiililli' iiixl i)|i|H<r lliiii!> uill !■■ rmitiil iiiniv h^ui'iliii.'tnrv. 
It i.i \v>-)l iiUt ill siivviiit^ tlir l><>iii-> i4j divide tbv Sbiilu at 

a ^liglilly higlti-r jmitit tliaii iIh- tiliia, 

AM)>Htali(m at thf. Ijowr Third of (ht I/rff. 

At ihio uiwition iht- liy niuv 1m> )ini]intiit4tl by Uin vdr- 
nilitr, nt'Hlilivil ciniilar, or (■lli|>ti«] im-tEiuJ. 

CitvtUar Method. 

A circiiUir int'iaiiin is niatlt- tlir<iii);)i iho ^kin aiHl n>n- 
m-clive tiftnue jiut abuve the malWIi urid lb4> nift* t* ili»- 
M-otcd up for a iniHirivnt (lifllitnif. ami :i <-in-(ibtr iiirUimi 
lit' tbe It-iiiloiis :m(t hiilwIch is iti'\1 iiunb- iiiiit tbv tiMtticK 
Ix-iti)^ rttmi-lL-d tltr Wik^ are diviilwl with a aiw. 

^yfod^l iXrcular 3fflhod. 

Ill tbih (iK-tbiHl (if niii[Mi(ikiii<i) of tbi- liy a nn-iilur in- 
rUimi III' tbf okiii niul tiniinrtiv*- liwtii- aiitl tw»i chnrt 
bih-nil iiiciniiiiiH iiri' iiiiuli- iiikI tbr tlii)ie iin- ilU^i-lcd u]i to 
lb<' oml of tbo iiK'iwtDS. iiiitl ii <-in-iibir iliviaioii of lb« 
iiiuiicU<:> M next mmU.: (Vie. 't()l> ^•) (-^11^111 i^kiii Hajie 
iiri' iiuulf iiml (rxuMTlM lilt, and ibc liwiiim an- ix'xt ilivicktl 
rbiHi) to tl)'' \f>in- bv a nn'iitiir iiicifinii and llii* biiiim art) 
L divi<U<(l wiiti » WW,' (Ki)^. -IU(i.) 

H mplMi/ MrtliwL 

^^ In tbii^ niftb'Hl of iim|iiitati'm tbc inritiion is in tbe fnnii 

I of uii i-Hijiwi ith towi-rcnilcpiiwii ibi' liivl lit'btw tlic iii>«er- 

tion of tliv ti-ndi> Aotiillis ami tbc iijiimt i<iid of tbc inoi- 

MtM tfi alMMit on iiM'b bImu'c ibi- anivrior iirltimlar nl)p- til 

tV- tiWa. (l''ip. *)6, Jt.) 

^^ L(nuj A nin'ior FInp Mtthod. 

I All nnu-nor lbi|> i^jtuil in b-n^flli In ibi- diaHii*ti-r of \\w 



im 



AXPCTATluMS. 



4 



the ^kin lM^nnin;t ai ihi' jtontrrinr hIj^ of ihc tibia •« 
llir imii-r fiilt-. a liltlr Ik-I'iw tin* |<"iiil m wliii^i tho biio« 
HIV (ii In- ()ivi<l<^I, ami Ls orrictl (in-r tbr Ir^ Ui a jirrint 
iliniilv ti[>|Keiiu> ovrr ttit- KliuUu (Pig. 405, 4.) The 



PKl «M. 




Amimlslloii «r the Ii'e. A. 
Mo>llfliNU'imilnrmvlhn<l. ». 
HiKUiiguisr lU|i C. AnlcfO- 
paa>«rlor Hap. (STIitauM.} 




AiiiputAllon of the Icf. j1. 
Ijiiik Hnt«riar flap, A^ 8Gpri- 
nuUtnlar long poMerloi Sa^ 
P. At u|iper tblrd. (EInnoit.) 



AKPOTATIONS OT TBB LIO. 



4K7 



iiiiUTiitr tuiM^lits HIV ilivitlwi IruiirivcrM-lv halt an iiirli 
alM>v<; iIm' ti>w<-r rnd oC tlu- Itaji mtil an: tiiitvftiti IViim the 
Ihiw U> iIu- lukM' of till- ll»[>. 



ria.m. 




Oni akltt b|a bIU clnniUt JlvMua ot Uw iniiick*. 

Tlio |H<f'U-ri<>r tliiji if itx'ii miuK- liv viitrriii); tli<- kiiili- 
iH-liind till' UnwH ill ilif {Miial of tlio nrigituil mvuioii util 
cutting (lim-4l\ iMitwunl, 

I/mg Antrrior ReeOingular Flap Mdhmh ( TVfl/i-.) 

lu iliiH miHliiicl of anijitibition of Oh- It-g; an iiinnion 
njiml in li-ti^'i)i to li:iir ol ()■•- ciriiimfinnii' ol' thi- liy in 
iniutc IViim llie iHitiil ill w)iii')i l)i<- Iminv iiri' lo l>i' tliviilinl 
oil t)iir oiili' of Uic V-^ anil i>> mrriiil ticnw iIk- Itiiili and 
)nii-k ii|Hiii tilt' i<[i|itwi|f oiitc lo it |ioii)( ti|i|Hi-<ttt' thi- (lolnt 
ofMnriinc. Ttiv fliip lino nuirkul mil L" <liA'Myinl u^i to 
tl.H liiM' iilir) II |MH<t«Ti<ir Ilii|i of olic-fiiiilili |)m- lrl)t:tli l^ llrvt 
4iit liv a IniliHVi'rM' ini-iMoi) ilnvrii lo llii' Imiii<~< ninl i.^ (Hh- 
.'^i-lit) Uwk lo the lini- nf tlic origin of ibc tir>t iiii'iKioii. 
(|-'i){. lUt, Ha TIk- Ioii^ lliip ih iw'Xl iloiiliUil Imi'k uixl 
it* iitfrtrn Hi^-iintl to IIh- [Hi^lfrior llitp, or the loiiy tlnji may 
1h> lilt ffifii tlif jMwiiTior Korlnti- of tlir li-|; mid llin .tliurt 
llii)> rniMi llii' niil'Tinr oiirlliiv. 

Anltrr>-potlmor Flap iffUuxl. 

A liHij; iiiita-nor l\ti\> inrliidtii^: Itiilfof llii-nn-iinifiTi-mi* 
of the liniU niuy \h- iiit from wiilmtil inu-jinl, i-utii|><>f4'<l of 
nielli, (itnim'tivv liMiiti-, ami iinisthw, an<l ii sliort |Hirili'rior 
fldp «-iit fnini wittiiu uiitwart) luity alto Ih- cniiitoyiMl. Tliis 



498 



AMPIITATI01C8. 



^H niHbix] is utU-u ctuplovcd in »ii)|>iitntiun» in thn it 

^■^ IKirtiou uf Uio leg. (Fig. 4ll4, C.) 

I 



Lalerai Flap Methtxt. 

In the lowpr and mi<Mle thmUof th« )«ir tin- in<4h'> 
cil' anipiilafi'-ii I'V means of liKt-nil «btn fl!i(w mnv Iw (-m- 
|iIovm1 witii ailvunift)^. In llu!* iik-iIiinI nii irn4Mii« w 
iiia(U'iiv<Tthpspiiu"iriliciil)m uiitl an oval lliijii-nilirwinir 
one-half 'iC the ciriiiicifon-iKv of ihe li-s. iimijwiiTfii uf tlw 
nkin and i-onneilive tii^iic, h illsstH-tot ii]i ; Ntiintn>; fnim 
till' same jMiint a Minihir tlii|i ii< itit ii|i"iii tin.' it|i|>(«iu- «i«l 
iif ilio It^ and ilifi«ir(il ii]>; flii' miiM'lc^ at llir ii|iimt ex,i 
iii'iiiitv '<f f hf ll:i|v- iirr- iii'vt 'jhtiKi) liv a cin'iilar intiinon 
and the l>ones are divided with a saw. 



External Flap Method. {S^Ulot.) 

In this method of amputation of the leg the point of the 
knife is entered a finjrer s hreadth external to the spine of 
the tibia and (-.irried outward, grazing the fihnia, and is 
brought out as far as ]>ossible to the inner side; a flap 
thre<' or fonr inehes in length is then ent from within out- 
ward ; tlie extremities of the incision are next united by 
an ini-ision across the inner side of the limb involving ihe 
skin nniy; any nmaining inns^udar tissue is next divided 
and the Ikmk-s are sawetl, and the long external flap is 
brought over tlie ends of the Ihuk-s and fastened to the 
edge* of tlie incision on the inner side of the limb. Prof. 
Ashhurst modifies this o|>er.ition by cutting the long ex- 
terna! flap frcim without inward, and makes also a short 
interna! flap in the siimc manner. By cither method the 
nsiilting stump is a giK>d one, with tlie ends of tlie liunes 
covered by the tisanes of tlie external flap. 

.\ Ml- [TAT IONS AT TIIK KnKK-JOIXT. 

.\niputatioiis at the knee-joint may !«■ done either by 
the cireular or elliptical ineimon or by means of flspe, and 



AMPUTATI0K8 AT THE KNEK-JOIST. !»!) 



I 



may ouoidAt in Biiuplc (lisarticulnliuiw or iNTtiuiiH tlinxigb 
Uic iTJudvlra nf die ft'iniir. 

Blipfieal or Oeai MHhxl. 

Ill lliU i>]N-rr»ti<m an imL-ioii rro»«iiig the spiiw of ihc 
ttliiii llw liii^T-limiillli.'i Ih'Iow the lower extpcinity of Uii* 
piii-iln i* <7irrii-«t uroiiml iW back of the leg three fipRiT- 
firtfliltliA hiirhiT rhiiti in front; tin' lis^nes on the fnmt of 
tin- Uii ari- ili.-.i-'-it'*! \\\t until llii' tcmlon of tlip giati'llii i" 
fXiMMtl: till' li-i; U (Inn Ui\(il aihl tin- lijpmuiil of itic 
inlrtlii H ttividitl : till- inimiilHr li^inicnt ami I lie liKcnil 
luiH rnu'iiil lipitiii-nU ore next ncvrrt^), (-an> Ix-iti); liiki-ii 
tiot to injure ilf ]M))>liteul veiuM-lH with Ihe point of llii- 
knife. 'I'he (iliiii in next ilniwn forwaitl ami the knife itt 
)iiiwiil U-iiiii4l it.-> iKi^terior lionhT. uml llir remuiniit); mjH 
jrart* are iltviditl troin witiiiii oiitu-iinl. 

Anttrior Flap J/rfAw/. 

In thin inethml of mii{HitB(inn u lonj; eiiiattOHifi itup it) 
fi>rm<-<1 : the inciMon iK^inninK half an ineh In-low the 
artienhitioii h mrrittl five inelK-H Ix-low the juilt'lln; eniK- 
in;; tJtc aiilerior suHiux' of tin' Ic^ it if eiirricil tmek lo the 
eomlyle of Ihe femur on (he o|i|HHile Mr. Tliin (ln|i h 
(lifMfted u]i nml Ihe li;;aineii( of the juttellu i* ttividi^l, 
and the ilimriienhition i-^ eO'et-ti^I. A xhurt [■■•liriiir tln|i, 
uiiiliit]! llio anterior ineisioii oivi' tiieti Ih'Iow it» extn'nii- 
tint, is itext ent Ity tranntixioii or from wilJioiii inwanl. 
(Fi|r. 407, A.) TIm.' imUMii is iiut ivniovitl. 

Ampiihlion Ihrovffh fhe (httdylfw of the Femur. 

In lliin nn]|>iitatioti, whii'li w known ue fbrrfm'* »fn|Mi- 
lation, an nnli-ri.ir linn, wIuhc Iowit extn-inity w llmv 
Hnp'r-lin-niltljM Ih>Iom llie jBilella. i^ mt am) the iliimnini- 
hllloil i» I'ffnUt], anil tlie jHiHlerior M>tl ■lortt' are iliviilitl. 
The [Mielhi iit renioviv) and the eoiidyhit next amtnl 
llin)iif;h jiirtl iiU>ve tho i-dfte of the artiiTiilar mriilagv. 
{!■>. 107, /*.) 



tn lliif itncretirin an iact-imi io iiimlr- jiut lirhiw 
(Mirlln, H-liidi is (sirrial «ii.vfn tin- siilm- tif tlir (iUa 




AMPDTATlOirS. 



Lalfml riap ifHhod. 



TH.**. 




isaitaw 

lll^■<• iofhtiit, and k tluu (wriec) 
iMii-kitnnl III tlif midillp of ttir 
Ii-j; III a jBiint ■'[f|H.isitf llic l»qrii)- 
iiini: of tho iiK-Uimi ; a MDiilnr 
t!a|i i.s r-nt du tlio o|i[>ositr smIc of 
tl)c li^, siliil tilt- fl;i|is ;ir<- i)iss(i-t<<<I 
ii|> l<i (Ik- lint' of till' artii-iiIatiiiR. 
iiml wlii-ii ihis |M<iiit i& rcQched 
llii- jiiitil H •i|H'iiiiI mill ()ir- Jiiiar- 
tii*iilalio[i iTi viYii'Utl. Thp poU'lIu 
is iml n-iiiuvul. (Kig. 4<.>8.) 

fJriUi'g Amj/ui<ition at Utr Knrr- 
joint. 

Ill tluK <i|>eratii>ii a long rec- 
tiin^iiliir niitcriiir finp is first cut 
ami <lis.sc(to(i ii|), and after the 
<lis:irti<'iilatiou has iK-cn efferted 
the sliiri loviriiid llii- |K>sIiTir)r fiirliu* of tlif knit- is cut 
from williiii miiwiinl. Thi' cuiidvleM ui' tkc lemur arc 



Ain|>i]lliElitl]<al Eht kn^-Jolnl 
■ml liiuir ili]ril nr ililgh. A, 
l/ilig Hiilt-rkpr 11h|*. h, Ampu- 
lA(I<m Ik fill Eh niM'ly]L'>H. V. 
Mnllllcil ll(i|. Hi lower Itilnl i<f 



AMPUTATIONS OF THE THIQH. 



501 



tM'Xl n-niiivi-"! I)_v :i kiw niMivo the iiljp? of llu- artii'iilnr 
■nirliLip-, iiml ilii-:irti('ulur^iirl:ii«-><f tliciwilHIa is n'luoviil 
\'\ iIk- »«im' or I'littiii;; liirM'])^. Tlie juiU'lla is iii'.vt ItriiiiKht 
down «) (hat Us snwwi Hiirfaiv U in «iiilact will) llio aimii 
MirJaiv ortliu iiiiiilvkf'.aiiil ihc i\a\» itn- ttroiiclil lop-llH-r. 
(Fig. W», A.) 



AUPI-TATIIINJ* or T1IK TllKlll. 

}Mifif*l Flap Mrihiid. 

Twi sftniliiuur rtin* of -ikiii ami (nmnwiiv*- i\<^\w, tiii> 
iipptT i-sln'iiiiiy uf wliii'l) are scvtral im-Inw alMivi' tlir 
•itmlyliw of the femur, arc rut ami (liM4'ci<'<l ti|>, uml 
titfi iiiuinrh^ an- iirxl <ltvi(l<tl l>y a iHn'iitiir inct^iioii, uiid 
tin- Ikjim' ii* rut ihntiitfl) witli tlio naw. (Kig. -WT, C.) 



J^tVf AnUrior FU^ MttKott, 

In tilts i>|)crali')ii an iii<4t«inii ih iiukIi'iiii iIh- itnti'rior 
iu<|Hvt iif the tlii^li, marking out a Haii wtitv«^ hii^li i.s 
iiiutil to iini^thinl, ami wli<>^- wiildi al it.s Imm- i.^ )t|Uii] to 
Iw-ii-tliinlH, of tltc rirfiiiiifi-n'mv nf tb»- limb. Tlio ntil^Tinr 
riitiM.-l<» are ai>xi tlividinl olili<)iirly iiitwitnl ami Itai-kniinl, 
rtii llinl till- fla|i sliall mit In- Iini (lurk, ami tin- |)<>T>ti-Hor 
niuw'Ic.-' an' ciii transversely ami (lie Umc in rlivtilitl with 
a saw. ll'iK. 4(I'J. B.) 

Ammitatiipn in tlie lower third of (lie thigh may also Ik> 
i-ffeel*-!] by enililoying a lang mtUrior ntul »hnr1 j}ndrr!or 
rtaii. 'lite anterior Hiiji i» ciit, it« lower extn-mity i-xliiid- 
tii;£ ilown to ibe lower itlge of the |ialellii, ami afier ilis- 
h4'.-iiug U|> Ihi- ^kin ami o'lhilar lisj^ur li> Ibi- uj)|><t 
i-Mn-inily of llie |>al>'1la, the noiM-Ie- art- iiX oblii|oely ti|i 
Id the juiiiK al vfhirii ihe Ume is I.. U- dividiil. A short 
[Nisterior Ha]) i.s next ml, and the soH |uirtK Uing n-tmctnJ, 
tlie bone in Ftiwitl through. (Fig. 4U!i, ('.) 

a* 



602 



AMPCTATIO.VS. 



Amptdatlon of the Thigh by 'JVitrtufiritm. 



t^^ la amiHilHti'iiw of tlic lliifli llic tlii|)" iiiav iiIsh I 

I hy tnui«tixinn. eillicr lideml iir nitla-'i-iiuideri<it flitiw 

I eiii|)liiyfU. (Fig. 410.) 




A- i;rliLI> mnpuluiiuiL aI Itic Liii"^. A\ \Anw, nf 'llvlsloii uf (he buim> I 
Aminiuitlnii of ih<; ilitgli, luiig tiii[vrli>r llap. II'. |iivIf.Ii>[i of Ihf br>i>e, C An 
[iiiiniinii HI iliL' luwer IliIrO uf Ihv tiilgli. f. Jilviilim uS tbe Umi;. 0. Db 
■nkuJaliou ■! Ihi: blp-JolDt. 



^^T 


^ 



AHPLTTATIOKS AT TDK nil'-JOIKT. 



5(K1 



Ati*imtallon of Ihf Thigh thruugh tkr TVochnttlen, 

U'Ihii, fi>r any rt^inon, it is init'lviNthk- to iitninttnlr nt 
llif Itiii-j'iiiit. nil itiii|>iitnlifiti iduv Ih- niiutc ilinm^Ii iIn' 
tnx-tuiiilcrs. It I<ii)}> uiitirinr iiimI "linri ixi^drinr tl»|> U'ltig; 
(.■ui|tlo)-r«) willi H i-iri'tiliir divUimi of liif niiiHclnt. 



FlKtML 




AMpuMUaa or tUitt> by lUiti oM In MMdafcni. 



AMI'lrTATKiXt* AT TlIK Hll'-Jril.VT. 

Ill aiiiiiiiliitttMif m till- hi|»-J<>iiil it ix imiHirtiitit timt jini- 
viNtiii Ih- riuiili- I'lir tlu- iimtnil nl' lH-t)iorniii|^- iliiriii): (liv 
•iiM'mliori, iukI tliU i" a>i'<>iii|ilUlii'<l l)_v iltr dm- <>r mi 
itlHliiniiiuil liitinivijiK-l (i'Hi- III I. iir liv llx- iim- <iI' ItavvV 
U'vcr tiiukii)^ nitii|ii>-wii>r) ii[h>ii tlx- iiiiiiuioti iliiu' arli-ry 
rmiri tlii- rti-tiiiii, or liv oiiii)>i\'M(ioii of iJii' li-iiKiml urtrn' 
by tin- liiijfin «r ail afWiMunt, nr liy the pivliiiiimir^' li>[n- 
twm III' llii- riiiiiinil tirti-ri' jiM Im-Idw I'<iii|>nrtV liunmi-nt. 
Ksiiiah-liV I'lrifrlii- Htr»|i innv (iIm> Ih- chiiiIoviiI lor llic cili- 
tnil tif lilttiliiit: >liiriii); iiii)|iuinl)<>ri nl lln- lii|HJiiiiit, ilio 
Htiti|i In-ill^ it)>|iliitl in ^iK'li It iitiinii>-r tititl il mrtiiiifs thi< 
|n>~iiiiii) III' lliH ttiniK of i> K|ii<n Imnilitgi' »( iba uniiti. 



AlCrCTATlOV*. 




AM'jminal loomlqiiet. 



Fig. IJZ 




K>"inrc'li'i-i.*liihili' ■lrii|> ■jiiilled locimtml hi-murrhtge durlna 

■lll|illUl)ul1 HI Iht 111)!-]"'"'' 

HiiflciilKnIi iiiiil Wvclli, til iiviiiii lii-iiiorrim(je, mak^ 
ttixl II rii'i-iilur iuii|ititiiti»ti ill llu- iimtitiiiity uf the thigli, 



AHPUTATIONS JIT TITR HIP-JOIITT. fiOA 

ami uOtT niiitntllini; (lie liptnorrtiuj^c <li_'<irtifnlnlt< the 
lieail of tlii> It'miir and ix'iiinvc it ; JonUiii :iii<i Soiiii dis- 
nrtViilnlc ih* ht-ad nl' tlie Iwiie fiwt tlmmch an cxtcmiil 
iofUidn and <'ontP(>l Uio bleeding Ijeforr ih*- jiiiipiilnlioii is 
(^>inplelcd by inNriiii; an c>liifi(i<; loiirni4|»i>t around tlic $M)ft 
. nlxivc tile |*oint where they ore (o Iw dividn). 

Till' nit'thixlh of :iiii|)iitntiiiii nt the hip-joinl art- thi> rtnti, 
anlero-uo«lerior Jitip, and lateral jlap, and taodijied eirctttar 
nieUwjus. 

Omt Method. 

Thin in [•crlbrnK'd by entering; iIm' jioint of a stniii]; 
knife inlo tlie liwmv Im-Iow iho anterior HiiK-rior M)im)ii« 
[iroo'v of till- iliniii awl makii)({ ino iil>lii|(K' inciittmH, 
itn*' fiirwiinl mid dnwnnanl tind tin- hiIht UiikHitnl, Imlh 
im'if^idnf iiurtiii); on ti tniii<t\i-tx' line i>n the inner ^idi' of 
tJic t)iii;h. TIk- ninm-li<H art- ue\t divided on a little 
hi|{l>er line, nwl wlu-n ihv Joint ik exposed <liHirticnlal)oii 
» cflivlitl from the outi-r i'hIc inid any ri'inainiii}; tirvm' in 
divMlul. 

Antero-po^Urior Flap 3(et/ia<l. 

In ihix niethiMl the |Miint of a Ion;; :ini|tiit.'iltn); kniff 'i» 
llini-i inlt> the ti-.-inf ulHiut two liiip'r-t>n'«dih(^ Ix'low iIh- 
iinHrior i-iijiiTior >|>tnoiH priHt-w of tlK- ilium, iind is 

Ihi'-IksI through the tL-vin-.^ ^mxin^ the hi|»-joinl and is 
tmufihl tint on iIh' opmifiiteof the (hijflt cIom* to (In- junc- 
tion of liie :«(-r<ilnm. TIm' knife i" ix-xt cnrrii'd df»vnwiinl 
c'liiM' Id tlH- U>nc iiml lui anterior flap of -nllicicnt h-ii|{th 
i" i-(it front within oiiiunnl. Thin Ihip t> lu'hl itji by an 
iij«>i!<lnnt anil the h<iid of ihi- Ifinc i" ■li'Qiriii'nhiiiit. .-mil 
ihi- knife Uinj; jia-w"! U'hind the Ixme, u |«»Ierior Hap «r 
■Hpial length i" mt fmni within oiitwanl. (Fi)!. il'l.) 

Gv/ltfir'* methinl of amf/Hlalum at the hip-Joint connii^tK 
ill iiitliii^ iIm- Itnp' fnini uilhonl inwanl, a ■mailer knife 
Ix'iiiK iMiI fur ihU |iiir|HM«' and the [-iHlerior Hap U-iu^j 
cut Gnu 



AHI'CTTATIOVt. 

n*.<ii 




AaiNiUUiai ■! IIH kl|>-|iiliit Wj »iitt*v>|<>al«lar I 
rULtU. 



(HOUtM.) 




ititdifietl tlimiAir Mrth)^. 

.diii' oiH'mli'm >Ji<in nnti-ni'|Mhl>'H<ir ltii|>- of t>l(!ti 
kM-livi> iM-iH' im< cut Aiitt iliMHvhtl ii|i, und Uh! 



AMPUTATIONS AT TUK IIir-JOt.VT. iH 

iniuu'lci) arr divKlwl by a <'trciilar incUtim f»ii thi- liv«'t nt 
tiir jiiiiil. iukI Ihc <li>nrlu-iiltiliiiii of l)it> IkikI of llit- ft'tiiiir 
» IHIX( ffii'Cli.il. 

hiln\tl Fl<ip Mfikott. 

Ill lliiii rigMTatinii (wo flii|M niv ctit from tlir iiiii<-r nii<l 
(Hitt-r 4il<> of the ihi^Ii Uy iniiinfixion, or by (-iilliti}; from 
williout iuwiird anil ('X|«>^in|! llic Joiiil. wltirli in o|m-iioI 
nitH III*- <tiK)rri<'iil:itii>ii ot'ilii' iiittil of tin- liititir U I'tlivUtl 
iiH ill ihi- [irc'vioiix ni«tJit)cli). {Vifi- 414.) 



Wyftk** itdtuxt of Amputatittff at Iht Hip-:foinl. 

Ill »m|)iilntiiii(: ut (lie lii|>-Jiiiiil t>v litis nic-llnxl, ihi' hqi 
to Im' (iiK-niu-d tiion is linKtjilii wcH uvrr ttM- Mff- nl' llw 

rMi.4iii. 



riiu Iwantit •ml liitai an^M. 



taMf iiihI ml tj>iiuin'li liuiiilnp- im ii|iiili<Hl to Itiv limit, iind 
Hm "(ocit »l«'l miiCIn-\- iHT<ll<->i hvrlvi- iir liHirli-i-ii iiirlirfli 
ill li'lictli arr ri'iitiini) : d)f jHiiiit nl' iiim- nf llx-st' ii(iilli«« 
in (KUMit) tliriiti^ti iIk' skill uiit' uikI n Imlf iiii'lic!! Iwliiw 
miu nlit^litly in iIh* iiimT side nf ilx- aiitcrinr itii|ia'rinr spim 



AMFUTATlOMa. 

iif t\w ilium nnd iiirriiil ibniugli tlic Iimii's iiImmiI liulf- 
u'ay Ijetwit'ii tin' Lrn-nt irif'tiniitcr iiikI (lie r>|iiiu' uf ihf 
iliiiiu pxteriial Ut tin- iicik nf t|jv rciiiiir, iitx) it» jHiiiil i> 
liiail>' lo (riifrtir jiihl iH-liiiiil tin- tn>)-liiiiil<-r; lli>' ■^i-omi 
[iti'dli! iri iiiiiili' 111 I'lilcr till' i-kiii iiii iiirli U'luu iln- i-oifrli, 
ilUernnl ti> tlic -^ijiIii'ikhik niK'nlii;^, uinl il- |M>iiiI i- iiiimIi- 
tu eiiiFi)!;!' hIhiiu tiu imJi uiiu a liall* in I'mul ul' llu- tulx-r 




Limb ampuUled Knd bone awii. |WvBTit,) 



JHcliii. Tlu' |M)iiits oi' till' iicfdlfs arc next ]iroteft«i with 
c-orks, aii<I a loiin \>]vfi- of nilitxT tiiliiiifi or nil flflnmn'li 
I'lastic strap is wiimnl lijjlitlv five or six limes about the 
linih almvc llii' tixatiou iiw-dks. f Kij:. 41-").) 'I'lic Esmarch 
luuida^' slioLilii tlii'ii Ik- iviiiiivc^i iiial a •iniitar liK-ision of 
t)i(' skill aii<I i-i-lhilar (issue sIkhiIiI Ih' tnailo Hvi' inches 
Ih'Iow tlir c-iiiis(ri(tiiii' IuiikI ; this i-i-lliilnH-iitaiifoiis niff 
>tliiiiil(l in'xt Ih- ii'lii-"'!!-!! Ill tl»' !rv<-l lit' thr trwlia liter 
minor; a c-irniiar divisiiiii of all tlie miiM-len should aext 




AMPUTATIONS AT THK HIP-JOINT. 509 

b(' made at this point ami the Itotic divklcfl with a saw. 
The lai^ vessels should next Ih' aei-tired and after this has 
l)een done the riihber tul)C iihoidd Ik- n-nioved and any 
vessels which hleed should betie<l: divide all remaining 
atlachnients of the femur, open the ciipsnle and disar- 
tienlate the hesd of the bone. A drain nhoidd be nest 
introduced and the edges of the flaps brought together 
vcrticallv. 



■li 




INDEX. 



AlOtt'TS luog iorcision in iiiicaitaaJ 

AbdMnliul wKi^ ligxim uf, ASH 

AbBMM or ttmaemiK, acuU, Wt 
dironia 3S3 
ooU, K3 

<le q » w il«J, oMning of, Wi 
dmwtng nf, 3J<2 
Tllllofl'a neilMd iif (ipenhiic. 

0fMnincoCS8S 
iAmm* froM, 284 
Inotnuri oJ, 2)12 
Abwitbrnt oMUin, HI 

A. c a Mtxiiira, sn 

Adil,barii\ I IT 
c*rt»lfc, 114 

Ai-niinial mil uf d>vkk^ diiium- 
lion i>r, SIH 

Acmnion pmoMi of m])BU. dh- 
looukin iM, a«3 
fnrtura ut, 313 

AcUia] fMMrr. i:» 

AoupraaMN, z73 

flm Miotlwd of, 273 
ttvaoA nMhod oC 3~3 
third iHMlind of, 274 
fotirtli motlMd of, ^1 
AAb mMhad of, 274 
■Uth BWlhod of, 2Tff 
leveiuli mcihod of, S7& 

AcopUMitirir, 107 

AdlinnTr |>I>bI(t. 140 

AllMw'a ■Hilll ftir IVnrtSN of l<a- 

AiMrlnwi hwMlage at fool, >K) 
AmpiiMtliift knlTM, tfS 



Ani|>ii1iiting mwv, 4A9 
Anpiitoikia ot unpataliaiy^ 4>^3 

at «iikl«-JnlnL 401 

KiDgalTa. 4n 
Roux's 4113 
6yma\ 4t>l 

of Brio, ^75 

liiirl«d nnuras in. 4 AS 

mr<xA»T, 4M 

in oonllgnlv. 469 

in ooMiHUiH, 4At 

<kuili of. 488 

dtMiiniit of, 4AS 

At ulbuw, 474 

ellii'iicsl, 4U 

iif UMtoK 4GT 

i>f fool, 4S2 

C1i<>i<Ari's 480 
lluiouok't^ 4M 

n«r'(,489 

Miknlio'i, 494 

Triplar-^ 41*1 
of fi>rc>tn, 4T:I 
uf hMul, 4)17 
Ki l>lp>inl, KB 

iTiiilrcil of liPMiotrllMg* (■I'll 
.'*4 

<iaibrie'«, (MM 

WyclliV W7 
imtnuaenU iiir, 4W 
ai lui*»-jidai, 4iM 

(-■rIi'D'o. 4M 

(iritiix aoo 

■rf Iwf. 4M 

SUUIIOIV 4W 

TMilaX 4»7 
lipuuna in, 4U2 



512 



ISDKX. 



Ampiiution. fuodio~tanal, 4KV 
of tDUbutriHil Uiiinv 'l~0 
of BwUISTBttJ Iwno, 4S> 
moillRwl i-lnitl.ir, 4^7 

(Mrionu'ftl llopfl in. 4<>8 
rw'iMigiilnr flii)" in, 457 
rr-dnnBiiii; i>f, i5& 
relnicliirv in, i'U 
Mbnvt nhoiilclpr-joial, 'WU 
a[ ahiiuiilcr-j'iitii, 4'^ 

I>u|<iiTtrcii'>^ 4S0 

LiiiTej-'s. 47 y 

Ijefranc'*, 4Sl 

Spentt-'m 4.sl 

Wyelli'f. |iin* in, (TU 
mbwlnenbid. 4dO 
Milure* in, 4(i'J 
latMO-mclutiimil, 4146 
Tcale'ji motliod, 467 
i.f tliicli, Wl 
■ •f loia. i><'2 
toumiijDcU in, 4113 
Bl wrinU 471 
Amrethodo from A. C. E. mixtorr, 

■221) 
fniin clil'inift.mi, 2l>< 
from cllicr. 21-t 
l«c»l. L'lO 

fr'>inolik>rirlti>rctliyl,210 
frnm muunu, ;!ll 
from 'iiM, ill) 
fram rliiciilpot', 'i\Q 
frxm nilrnim niiiir pix, 2t2 
fnmi mi'iil rr-p-irtilWi, SHI 
Aninthi'iic inixiiirc, A. C. K,, Sfli 
AtiHMliciii^ 2i)l> 

ill 1 nil' li fit limy, KIM 
•nniiling nficr, -IT 
AnufloniimU, inti>>iifiuJ, HuturVH ill, 

2M 
Aneuriun niMxIlc, 41tl 

Ankle, •llilrKiillona ril*, 41'2 
Anklu-iiiint, niui>iilali'>ii Ht, 401 

Pin>g"(r'j, 1112 

Knim'K, l<):t 

Snuf'-, 4al 
Anlorior liMal nrletv, lisallnn nf, 

W 
AnliacpV's '"'' 
AnUMplic bumliigtw, 131) 



Antlteptic Jreadng^ ISB 
iupr<>ti*ed, in 
mtuclZd 

HwUtod.Ul 

poulUtw, IW 
AdtU, oUluminaL ligalluo at, 4S» 

nmipnstnr, LlMur'a, IM 
Aiiun KUiiTKinii, llWi, 1U7 
An8(nl.IIK 
Arm, ampiidtloiu of, ITS 

uid elinit baiiJa^ fin 
ArtoriBl bentcrrhap^ iiiD. iStK 

inMutftui"!], 1>*S 
Artcridtnm;, li^ 
Arii-ry or »npri»— 

diiillary, )ii;Biioa of. 430 
lirsfUial, li^iiim of, 432 
mr(Mi*l, oiniinon, ligallod •>( 
424 
extcrtiBl, lij^Unn nf, 427 
inlfmnt, liint<i<'n ••(, 427 
>Uiisi)li> ikaIU, liaation •<(, 44!i 
fiiHnl. liiralinn of, 42^ 
Icninnil, ti^iinn nf, 443 
foiveii4,27i, 4lil 
vluloil, llgnfinn of. 442 
iliac, i-nmniiiu, ligniinn of, 438 
exicmal. ligation nf, 441 
internal, ligntiun nf, 411 
innominiile, Iti^liun of, 421] 
inlemaiTOii!, ligalinn nf, 4SM 
liR[»linix nf, 4lf4 el fg. 
linifiiiil, li^Iinn of, i29 
iiijininiun'. inlcmiij, lignlion 

"f. 4.i4 
mfiiiiiul, lignii'iQ nf 429 
|Kiplii(«l, lipnilii'n nf 4 Ht 
iitiilic, inierniil, liEiti'in nf. 

rvlinl. lii^lirjli of, 4>{4 
M'ialic-, ligniinn "f, 443 
HoU'luTiiui, li^aii'in at, 121 
iprnp'rnl. liiiol><>n nf, 4211 
llivniiil, inlcrinr, lignli'm of, 
l-.M 

iiii|wri"r. lisatinn nf, 42x 
libial, iinl«rinr, iiicalimi nf, 447 

[iii-U'rior, li([i»ii<in nf, 4'»tl 
iilnnr, lijnilinn nf, 4;tfl 
vertcbtul, li^iiuD of, 4:13 



^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^H I^^^^^^^^^^^H 


613 ■ 


^^^^F 


^H ArlcTv, wnuDiJeil, IlKsdon of, '!7' 


DuHbgu, ligiurT-iif-nitthl. of Bw4 H 
uinl Biillii, M H 


^H AililH-iiil ra)iirniion, litt 


^H ilini'l mi-llt«l, Itt7 


ImuicI, Mi ^^H 


^^M IloannrH mvlluMl, l!^7 


()/ (cnM, Amiiricali, mi ^^^^| 


^H MuvIibii n>>iri> ni>(tH<<i, 


(uvcrin;; Itorl, HO ^^^H 


^H IDl 


^H %lval«i'i mHlliMt, ]H» 


^^H 


^^1 Arailias iiiicH bM»lngc»f •Ixitil- 


■pirn. 'C ^^H 




hiitr-iailnl. of Hilii, 28 ^^^H 


or h«d, 2S ^^H 


^H Avplic flifibcx). 111 


nnaiteLM ^^^1 
(iibaony M ^^1 


^^1 pivpwalioa fiir, 133 


^^P of potimi for, 135 


•mloxiiirof nliiivltNi ^^H 


^B ai mrceoit for, 134 


(uai and ftinlk, l(H ^^^| 
•MMlknKhicf, 3) ^^H 


^H •aratin', natcruls owd in, ISO 
^M ARprntton, 1V2 


h«rd«nlai[, 'M ^^^H 


^H AipLrator, 19:i 


'•4- h<«d, 3(1 ^^H 


^H Ajingaltui iliiioatioa ol^ 413 


^^^^H 


^H IrwtunM o^ X79 


^^^H 


^H Acito-UMiafuMan, 1143 

^H Axillnfv Mrltrr, tigslinn nf, 490 


rvnirftdil, 30 ^^^H 


iranm«ML4l ^^^H 


^ 


of Jiw. oHlqwv X< ^^1 


' iiAai.Li, no 


at kiwvr i^xlnmily, 't ^^^H 


mnny-i>ilal, 21^ ^^^H 


^B p}^>«cnm (iriiilias 110 


<>tilti|iii'. ^^^^1 


^H Itaiulin or bin>Ucm— 
^H •MtiiHiiud, so 


•■o(ipitiv>f Acini, VI ^^^^H 


^H wUmiillc ISO 


(wniiHti, UV. ^^^1 


^^1 np|>lkiiliiin *•(, |7 


|lll•l«(■o^-I■■ri^ 02 ^1 


^^1 anil utxl rlKvl, lU 


iqipllmUaaotn ^| 
■■MfwrBiloii or, M ^1 


^H KarlnnV ;u 
^H nndified, :» 


RomtnI ot IIK! ■ 
inpplng at 101 ^^H 


^^^ of diml, (HUrrhir lliriir«'«f- 


^H flight, (17 


i-ou'iso ^^M 


^^H maWnor flinirvof-i'iehi, 


mrrcnl, 24 ^^^H 


^M 


I1.11.I. .tu ^^^1 


^H dfraUr, IV 




^^1 OOnijIOUIlal. 2, 'H 


^^M iiroww'l. of tf-c ii 


oililirr, M> ^^H 


^^M tit both t-yok, 4& 


H-inoni, lU ^^^H 


^^1 dMHl-RMinllni| 111 


i4 Sn■hclu^ Mn ^1 


fiwncuriog ItandtMut fecl,M(t H 


^^1 ilinuiMiun* (if, 17 


of Kxliain, 106 ^^fl 


^^^K ligiire-<ir-ciKhr. S 


limpia, ^^H 


^^^^H clbfiw, AA 


iplcn. L'-i ^H 


^^^^H kan^ 


off...i, TB ^^M 


^^^^^^ nf ktHM, hdli, 77 


at nEinin, wcvmIIoji, 72 ^| 
ilMniBtlia^, 73 ^^^H 


^^^^^^ lv|t. 



INDEX. 



¥ 



Rliwllffii Kpi'ii. or groin, driulilr, T4 
if ilioul'lcr, iisi I'm ling, 5(i 

.lesci-nilini,', 57 
if iliunilj, 5^ 
siiirnl. M 

HaceniUag. 20 
deKtiiiliiig, 21 
(if cliesi, (10 
iif linKcr, 4U 
reviTH'jl. 21 

nf lower exlreiuitv, 82 
nf pwiis, M 
nf upper HXtrumitjr, 
63 

■lorclied, 104 
iiii<ipeii8>ir7 mid cnnipruMOr, of 

iiriMKrt, ey 

of bolh breagl^ Til 

'it trunk. Oil 

of upper eilrcmilj, 4'J 

\'el(«uiu'«, 6« 

winrier, IJ 
HftiicliiBi[i|^. -i. 33 

rilliis for, Benenil, 17 
Borton's liiimiiij^e. 33 
niixiifiinl, X) 

bitnillierchicf, :» 
BavKrinn <ln.f»ing. 99 

BcUoi'ri'a cumilii, '27 K 
jti^U-niiTibiliiil, 115 
Biohliiriile ontton. I3i> 
of men-ur)', 11:; 

E1I1I1-, I'J'i 
mnl fijilintM, KIT. ^t'J'i! 
in oiuipnunil fmciunw, 
3A4 
Bii-uxilliinr rmviil. 'U 
Bluilclcr, li'ituiirrhiwe from, 2S1 
lyiim oitlliutiT iti, ZM 
wMsliiu); I'Ui of, 'i'i^i 
RIinm], Imuifusioii of. IKII 
.lin.i;l, IW) 
iiidirivl, 183 
RIonlli-Minu, I7:t 
Bouil'n •j'linl. :l^<i 
lli>DGi'liip«, ilctmldriril, ^OS 
rorwjw, ll'rO 

nUu». ■io.iiU-iil.'il. ^3 



llurif Hciil. 117 
lior'j-Milic^'lic Idtioii, 117 
Idi 11011^ ;;'.!7 

filiform. T^ 

rr<in)<link^>nl, ISO 

reulnl. ios 
liommon'n siiturt?. 248 
Ilorlne lymph, 1!'7 
ttmoluAl an^ry, liKuiiun of, 132 
Bran bog^ 3-23 

droaaing in (?<)iniii>un[| fni^ 
fiins. 3(H 
Rrcnd poulli», ISIt 
RreiLil, Mtntpping uf, Iti'i 

euniicniwry nnd coinprmnr 
bundo^ iif, DV 
doubli-. 711 
Bniisets 2»U 
Bollxiiw l>"ugii.'ts 227 
IliiriwI niituret, il41 
Burn-s 2'.I0 

till I lock, s)ii«i lKindag)> of, 76 
liiitioQ suture, 244 



/lALCANErH, dislocatiou of. 
\j 414 

fmtiurwi df, 378 
Can<]iiirii1al collodion, ISfl 
Olilliiiriis I'lll 
CnpUlory h^morrliitge, 259 
irealnient of, 271 
t '»]ifd<niiQ. I'Vi 
('iirlHilli: iidil, 114 
t':ii'biilliie-l gauiv, I2S 
t'nrhunelc, «tmppinp of, If" 
Oordcn'g uinpauitioa ui knn'-juiin, 

4011 
Ooruiid nnrrr. cninoion, lignttou "f, 
124 
liiiiTniil. li^ilon of, 427 

I'Kfmiil, liKBliiin nf, I'll 
Oir)iiil bmcA, rlinIiicaUon of. 103 
fnitlriivxif. 357 

Cftrpiu, iliKlnmti-m* of, 402 
CaniLiiina, <'<»iiil. fntclnrwof.asS 

M'mlluiinr. 111111114.111100 of, 41 1 
Ckl^ui, chmiuii' ib'id, 122 

rurdmbiHgi', 1:^4 




INUKI. 



516 



(^Iftuijiinipvr, ISS 
ligkliiim. 12:! 
•uiuink 1:£2 

diMWwl, tX 

linnale, iniroductkm of, 230 

ilUrodurtina or, SSJ 

meUOIie. 2:14 

Mcaring In UadJnr, 231 
M>ft raUwr. tW 
ChuWfiuilioti in nMcriol liunxir- 

ItloM^ ITl 

Fa([Mlln'a, IC5, ITlt 
CHucmI pnulliw, IW 
QiOTiilml Marilbatlon in woandii 

133 
Clivt. llffvrp-or'iTighi bandoni- uC, 

poin«riiMjo8 
^ilral Imuuiiii! nr, W 
Rraiipingof, 1&3 
T-taiutuv of. ikiubic, 27 
■!iiine, :!-'i 
<.'hililri![i.ctiit>h}'aMl )epu»Iioii« of 
(wliiM ID, 367 
fniininv"rdarkl« Id, :UI 
ot l^K in, 370 
of (ban of fcuiiir In, MS 
Chill, bauiiL^ of, fiMir-tMll«il, SI 
I'hWM'of Mhrl.MwMJHWB tnmu 
■ilO 
i>t iitu\ IIS 
Chlcrufaim, in4, in7, iU 
Miiiiis!inniil<ni >< 21** 
Di>|Kirmliia, CI-'Mt'i, 2)9 
<'ht'|uirt'< 4m|'iitti!i<>«i (if riml, 'IMI 
Chniniicni'lil <uif.iii. Xti 
Chranic kIm-uh. ii:; 
ClTcaUr «itipuuiii4i, 4ftt 

hattilii«-r. 19 
t'lavick dUI'ioiiMn irf, 3»2 
•CrDiitial Mid of, US 
tunial md of, 39S 
ftmiii' ■" ■■"" 
1^ 111 

bj..;. ■ ^.-■^iniirM'.SSB 



Cbticlt, hnetara* of; Volpvwn'a 

ilnwing In, 340 
CbMilincas KiugiiAl, 111 
Cllnintl lli«miorartor, aoe 
ClMnj tnaaiv. 313 
doTV-bilck knot, 388 
CIovm'* ditorofom !i|if«niiiM, 210 
Cooun^ onmltmia from, 211 

('Aoerx, ilialocalloiw of, 389 
(nclnKH of, 3U 

BMMlHKiu from, 210 

OOntptCMH, llit 

In ■fUvia] bemorrbi^ SM 

•VMM dnaMnsd 162 
Cnlla/ tnelntv <•( nd\m, VUl 
Collodion, mitliatidal, lOl) 

ioilcfoTiii. 11<'l 

ConmilnDinl fnciun-, 31S 
Cornnlm* ilislootiod, 380 

rrmeuin', 31 S 
CunplloUcddblocxlioa. SHU; 417 

mc>ur(\314 
ConpouBd boDdaM, M 
(tutocttiioa, ^ 4I< 
fntclurns 313 

tiiniWa-boiiKl vpltniB in, 

381 
bran (trenlnc liv SM 
dmuiur of, SW 
Mt ipllnu in, SM 
Iodoform dn-Mlnit in, 3<U> 
IrrigMioti in. :t>5 
phMor-oMWii drvMinx 

In. 3^ 
■■■diM (Iroaing iiv 8M 
Cooipmma, U; 
roltl, l<« 
in teetursi, 324 
to baOMrrhu*, 2fll 
but,IS8 
Oam|Mt<M0n, iHkIihI, tn utorbl 

bi-nMrrhuv, 2t)0 
C'oixl}'l«a Iff («iaar, fnanrca at, AIM 
Coagvniul dkloatlomv 417 
OMdwoDtivG li«ainirrh*««, TtfiO 
CMuiilnikiiMlinaluiMilof bMiKir* 

<'iHitiiiDn) iillniv^ 241 

CtetiHwl «o<iaJii if(J 



616 



IHDKX. 



ConUMum^ 280 

(Vimraid )ir<Mi<>a n( itn)>ulR, tnc- 

tuTv•.f.:^^a 

(.'oriin'iiil iiriHne of ulna, fncturt 

of, a.i2 
Oorrmive ^ublimalc guuM, tafl 
Oort&I oirtiluj^iH, rrnctura* of, MS 
CoUon, U5 

kfainrlical, l-L^ 
Uchlxrule. 130 
Omnler-irritntuin. UVi 
Omd'hiiii, fmi'liiru of, itiij 
Crsvnt, tiit-niillarr, 31 
CreoUn, 111) 
C'rpwwrf bondwe nftn*, 44 

or bolli evm, 4-'i 
CrtmvpolTie iriuigk, '-ii 

drt. 174 

wel, 17S 
(.'ultine plif". 4O0 

Cieniv siilurc. :M9 



DEXALCIFIED Iwn.- chips, ■-'03 
yUu-^. 20;! 
I.'oci) ini-isions, 174 

HU[Ut1!S ''^41 

Ik-fnnnilT in fratUire, .11'! 

I>tiitn-^(intlcf luinijjt^, ^l 

Itcwull'q liiinil.iict-, 'U 

firsi milirr of, '11 
secirii ntllcrtif, l\'i 
lliini niller of, iiS 

If^mVUil'nif ^l^icMi Imiuljif^* iif 
•iiiiuliler, '>' 

IHnttaMir uf •Ii-niutD, 3VI1 

liili'u^ 4ii|i|iiin>li')n, ^4 

Diiriljil i-'Mripi^snion in lii'mxr- 

rii!.(£.., am 

nininfn'li-in iif IjuriiK \X\ 
I>i>l»ckli->ii nr (I i-.!' millions, S3rt 

<if ui-nimiul enii uf clrivicU, 

. 31f3 

of ncroiniiin prK-eanof urapiilii, 

3',>;t 
nf imkic, 41-J 
i»f :L«(r:LL^aluK, 413 
■if mlnuieimi, 414 



vana 
of nrfua, 4I1J 
of cUrida, 3U2 
of niMxyi, 3-a 
CompIeW, W<1 
aotnpliAlol. 396, 4tT 
coDipnuiKl, SfM, 416 
congcniiiil, 417 
nf Shnw, 30» 

Im-kwutl. :»IH 

fiinruil, 30V 

Imeral, 308 
of feniur, ■numslmus VM 

d<HMl,40& 

UbK^4pn 

bchialic, AM 

poLif, 40S 

Ihynid, 407 
of ItliuU, 41-.' 
of linger*, 403 
of forearm, 398 
of hip, 40S 

luckwan), 40.^ 
nf hiimenui, 3!>4 

Koohor's inethoil in, 3'Jll 

Mulhe's melhid in, WT 

Biil-clnvioiilitr, SUS 

*illn?nni'^>iil, 31>4 

sulieleaoi<i, 3U4 

inil»{iiii'>UB, 3V6 
of hjoid bone, 3WI 
of JBtf, 3«H 
of knet, 410 
uf innxiMa. 3»0 
of nieljK^r|>a1 iKint**, W-i 
nS luclalarsal liones, 414 
myoliimT in, 417 
old, 3fl7' 

mluctiun of. 416 
[mrlial. :WB 



nf i«iIpI1h, 4ln 
[icillmL 



nl^eicBl, 417 
of [■.lv»,3Ul 
i<r (ihnlanicM <if fiti^r^ 4li| 
of ruliuH, -tUO 
recent, SS7 
rtdiicliuo of, 387 
nf hbH, 301 
of Kcnphoid bone, 414 
of wnpulo, 3U3 

inferior uigle of, 393 



INDKX. 



ai7 



r)U(xalioa<iri«nUiuuu'<«rlilMm, 
411 
uf aliMiUer, S»l 

MOUlMkMliS 4tT 

of Mfnwl sod of dnTlda, 39S 

of luraum, 391 

oTUfMl boiMis419 

vt thvab, 404 

wwioav b, 417 

ef 100^414 

UCWMDl <rf, 3S7 

of nfaia, 40) 

of rmtabnf, 3SS 

of wrUl. 4ua 
Donal dUlociuina of foomf, 406 
Donails uvdiit MUn, lintiin o£ 

44l» 
DnnU* iqrtBlda or owivxirv Mill 
aae, 110 
nuw, IS7 

raihr lNiid«n, 16 

DnuiMgt^ caiitBl, 124 

K«.I94 

nifabtr, 12& 
-laba, Iti 
Dnadnpv «Bli**ptk, drr, 1S2 

chtakd MarlUiadon In, 

m 

{ni|>roriMd, 119 
BmUIkI nwIsL 183 
DMwl, 182. m 

BBtarf«ii,n 

oeU-wstcr, UB 

of ftMlitrai,321 
eomMand, SW 

urcmnliaa of^ IS6 
Uubar, 108 
iM«,i:tV 
plaMM^f- rarii, iMerTUMod, W 

iM> <>r. ia:i 
nw>hidii. t(Hl 
Mwlail, 12S 
or Hiitio wuduil*, 143 
•i«rinna, df7, lai 



Dtoiiflgi^ Merilited, al0H^ 130 
Ilrr TwppiM;, 174 

(MrllinddnMlamlSI 
Draaingof ireund% && 
Da|iu;nr«a'* uupauulon u tliMil- 
dar-joiui, 4Hf 

vptiiU in fnciunt of fitrala, 3T7 



ELAifl'IC ligatnraL ttV 
Elbow, unpmkUoa mL 474 
dialoentiow of, 308 
bMAirud,a98 
ronrud, 889 
IUend,3B8 
fifiiM-or-olglit bandafe of, 

CJbond catheter, ISH 

Htnuoijdi, ma 

EHiutical ampntatian, 4SG 
EiNlMaoo^232 



gljwwin.am 

aatiillani^ 909 
GpiphjMal (ractHK, 314 

M})antl(nL 314 
of ndiiu, 3&7 
£pi*iaxML278 
KricluMi'a ligaMn, SAB 
BHaarch's bHidi^Vi 266 

alMlieatrap In htvovrtian 203 

toamlanet Lu smMtalioa at 
dioniUcrininl, 4i7 
ElhM-,213 

aanuaiairatian of; 2)3 

im InwMUiiliiT turn, 2lfi 

InKalcr, 314 
Bxjiloriiig niiodle, 30O 

(nxv, 21)0 
Gitcnul caMiUd art«tT, ligation 
of, 427 

Ube mriery, ll^oa at, 441 
^^ crowtd iMMage ot, 44 
e^ cnMod baadaft of bntb. 4S 



F'ACIAI, utlfrr. Ikitlonor, 420 
FurHliullon, SOA 
l-'aNTli, MraliM of. 2IH 
t'vlt>[>lii>(ivl»T, 322 

lnt«iii|<>Mnd iyitoUu>a^ 384 



23 



i 



518 



IHDkX. 



Ftanornl arMry, lljiBiitiii of, 443 

hMnia, Irua for, TH 
Fcnur, duiottlino of, uMtoalMit, 
408 
ikinHl, 406 
llUc, 40A 
bdit>akv4M 



pobit 
Ihyiold, 407 
ndncdoa «r, 40( *t m; . 
rnctoNNof. 340 
coadjlca of; 388 
omcn-Miek, 307 
towAT cnil of; 368 
plaMer^l-Pftrb draaiiiB 

diMAai;3M 

in chlUfMi, 304 
upper eitntmltT of, 360 
FunniiallDit piullioe^ lAv 
FtbaU. dUocwwM or, 412 

rrwiuna of, STQ 
FVun-or-Mstil ImDdBgtk 23 

nt diwi, •niMior, 07 

Cirior.Sa 
,&9 
of koMv TA 
of liiiM% batk, 77 

ornwit «Bd uldk, U 
Ptiifumi boiigie, 277 
FUiMTii MnpuUtliM uf, 407 

dlUMMioa of. 4in 

rnuourm of, %U 

*Dlr«l tunilitf*' a(, 49 
FIcM uiiciiBitMlliv rnm «ili«r, 21i 
Flwured fraetur*^ SIS 
Find <lt«Hlna% VI 
naiuwl faMwIi^ 8U 
PUp uipiMBlkiiM, 4M 
FUpMwrimUMl.ln unnnuiioa^ 4&S 
F1ax>«nrt |K>uJ(i«o, IM 

Ko^)«nUlion^ biM, IW 
FihM, iMpuuikiiM of, 4M1 

CliMMnV 4n(> 

1Um)m4['s4IH 

[|M\4W 



Fool, Miputukni oC HtlralW^ 
4M 
Tripbr'*, 4M 
b«u)due at Amtfion. M) 

^■lci,7« 

Tnuiim of dmw* oI; 37f 
ronrnl rti^ntion, Itl 
PoKMM, *run, S71, 4S1 

ba«iB,4<0 

luUBoKidgaHV 

laniaii,S70 

lneliMl,W7 
Foraina, MMpiiuUtiii of, 47S 

dialocationi o^ 3M 

fnctorw ot, 3S2 
(crmo-Alck, SM 

Knur-Mllwl tiiiiiliii[i> of f-bln, P 

of h«wl, at 
I'nctUM or fracluras 312 

of •crMnioa pniowi of MMola, 
848 

«mwtlw«fa» la, SI0 

of WnnliM, >71l 

.bQcl.«r 

Uoder't^Mnl qtlkiH b, ai 

-boi, 31S, 871 

b««n hv In. 3e 

of OBkkDcaBi, 878 

of CMiwI boM)^ 3ST 

ord«*U»,S37 

!■ clilUraa, HI _ 

8*Tiv'a dminc for, SW 
V(aM.Admlnein,340 

ctaMd,31S 

or eaalo7X,8S4 

o>Ue^,ai» 

eofninliHim), 313 

cMtphK3I2 

ooniplloita]. :il4 

rDiDi>oiu)d, fits 

liillll«l'»4MNU«) 

!bt4 
linw iInmIw In, 8M 
dM^OK of, aSD 
fhh wUni* In, 384 
bdobrin ilwa^ng In. 3KA 
Inipiilnii In. WS 
idiuMtMiM'Brla ilroMiiK 
K3A3 



■|iUnu 



4 



INDIX 



619 



■tare, ooninoand.wwdiutd 

inc in, 384 
OMiipnami tn, 321 
of ooMaI canilaen, 3S3 
of cnwlan. 39tt 
(Monnilr in, 316 
dli«etk>n of, 315 
drMlng or, 3S1 

ptxiTwoiuU, 318 
•pIpbTMol, 31S 
erafioniiBg l«ticiM in, SU 
esaninatioB ot 317 
Ml fpUnia Id. Sta 
<4 ttwmr,Saa 

in diililrwiL 3M 

tonAf\et oi^ SOS 

(imB-Mick, 387 

loavr aiul of, 308 

pbMar^'Itui* dntdag 
in, sex 

Atn at,9fH 

uiicK^ cxtrcntity of, 300 
of ChaK ll^l 

I topuTlTon'i Milint in, 3TT 

of iarmnt. ST.'i 

pxcB-Mtii^k, 3M 
of Ami, bone* nt, 379 
gTMB^tkk, ill.: 
gnits^Rba ipliniii in, S!2 
M htunanuk 344 

oondrle* of, 347 

taw«r etuviaiij of, SIT 

•h*A of, 340 

npcwr cxuvnviij' of, 3U 
oT ItTofil boiwi, 331 
IniMicd, 314 
ineomiiku, 3t2 
IntMiMiSlS 
of >w, 3X7-3Z8 
Jmh bam >». 223 
of Iw^tD^SSI 
loatber ipliDla ia, 322 



of Im^871 



['•■boud nlinit in, 
37S 

In oliiUnn, 376 
lon^tikdiiwU, 'iit 
of idnlhf bonr. 32' 
of DUUtUU, lowvr. :R0 
■plNir.SZI 



FnMlare of metBmqMO bonui, 358 
of moUlanuil bono^ 370 
■Dultiplo. 314 
of ihmI boncis 3^ 
obUqiw, 31» 
of OMcnooa proceaa of ulu, 

3E0 
op«ci, iLraabuc of, 380 
pmpar tfiUntt in, 333 
p*rli<l, 313 

pMWtoMinl tfulbiu in, 3S 
of D•lcU^3flO 
of pdvli^ SM 
of plialiuigM of lingtus, 3S9 

of iooi,S80 
plHteiH)f-iVk ipllnla i», 

S23 
Pott-nSTT 

pri MU7 roller In, 3S4 
praviuODftl dranla0 in, 318 
puaclond, 31S 
of ndiw, Oollttf, 8S& 
bMdof,3S2 

loim roil of, SSI 

■well of, 352 
miunion uf, 39) 
repiur of, 316 
of libs 333 
of tBcrum, 334 
Mnit bagi to, 3S8 
of mpuh,MJ 

bodr orsts 

tomnaia aiaetm "f, 34S 
DKk uf,343 

Mtiogof, sap 

■liaM of potoik nliM bk 

323 ^^ 

idnipl«, 313 
ot rUU, 330 
o»liiiula,S!l 
od «(cnHM,S83 

ofUTMlbMMSTH 

of inH!b«B,ai 

UUMTtCMbSlfi 

of ulna, 364 

oofDuoid prooMB of, 3S4I 
olMnuMB prooiM eif, 380 
of «Htebim3» 
wo«<i«ti apliiil* in, 322 



of n'gMnB,327 



FnxMli bMkljtg* of tk* foot, 31 



Sid 



INDEX. 



G,\LVANO*ACTERY, «M 
OMi oitrotH oxuk^ 212 
Ottuimomj, Htmra la, S92 

iniBaedlBH^ mtiuw in, SM 
OMlnrioa;-, mtura* in, 253 
flMinttM Imdaa*, SO 
Omiwv biclilariiU of nwceorT, 1X6 
boraUd,]2)J 

oorroHTO •uhiiaMM^ ISfl 
cvanido of nNmnr uad dan 

Hnvfingi^ 190 

prapumlloa ot, 1S<> 
•odotanD, 137 
pMbslSl 
plcdgeu. ISt 
pvokuain, IZi 
wJicrlBiod, i:!8 

OiliMa'* lioMagCL 30 
Glui dndiu«»«il», 124 
OloTct'* nilure, HI 

oiiM bMiUn. loe 

and oiHln of tine li*ntU«<y 1 W 
Olutol >rtcr7, llgniiM of; -MS 
OlrcarlD tmons, 309 
Biitipositor7, S09 
(.hiMiiii:-Rinl*iiinctuddiUlar,2IW 
Dnnnj kn"(, Xlft 
Oncn «iick (rattan^ 111 
(iriill'i •npaUlioa a( kM»4otiU, 

SOU 
Oroin, ipln bwulu* of, MOHuliaii, 
72 
d«eMdliM,7S 
do«bK74 
T-bwmbM af, te 
QvM Mid didk iModaga, IM 
OuBiliot wmind^ 288 
Oulirin'* ampautlon «* hip-joint, 

0O5 
QoUft-iwrefati tf\b*Ut SS2 



II 



.KMUHI-ATIC tanapi, S06 
llkU'. bmJioJ oT wlUdil 
Mfilratlon. 101 
HniMiMdf'a ui|iutatl«i of (tw(, 4M 
IImuI, aiBiiatollon nC 407 
llMMfa, dittarwilDa oi; 1113 



tlaadt, nnonl of pUter of-Pwi» 

rn>iu, lOlt 
llnndkorchter iMualafos S» 
llnnon'm 33 • 

llnnli-iiiii); ImiiI^co^ 61 
il.in>-ll|> wliii«,]M2 
UalUt'a fell Molinu. lUH 
IImnI, fauidaito of. IUrt<in's S3 

feur-uile<l, » 

OihMit)'*, 3T 

oUlmW. V 

UMMvcnM mHirruui, 41 
>nd iwck bMtdu*t 43 
V-twiwlNge of, 12 
[Trn, ■urillwikin tijr, llif 
Haiii>rrli^u la ■aiiwiAiiiia u htp> 
joim, onntnM oC W4 
Mrurl4 2S9 

•oaprMtUK !■, S7Z 

cuMriWioii In, 3(W 

e»ldln.S«8 

ooaipr c a* in, 2>I1 

control itt, immiaiMsii, SH 
Uaiponux, 'iW 

iligilBl<ioiB|inMiIon ltl,!MO 

Unarck's ap)>afauia in, 
Mt 

hot mw Ib. WW 

llgailon bt, X7I 

poulion in, SU 

apiurv in. IMO 

SfNoUti windlM* in, 28» 

«7]<(ic> in, 2iW ~ 

witire in, 37 2 

tunuoa in, 270 

unniji)iwu In, Ml, MS 
rrom bIwUvr; 291 
capiUarjr, S60 

IraniNMnt ot, 37(1 
cManmiii^ SMI 
IaunBt<dUn,2Gil 
firaoanoM z7t 
nriiiMry, >M 
htiM rmiuu^ 2ltl 
aacandary, Sfi9 

tnUHiml << SE7« 
InMaMMaf, HM 

oonMltuituHaL 260 

load, 260 
froiBiiMUn,SW 




INDEX. 



521 



Hanonbi^it, T«tK)u«. 259 
troMmrai of, lT& 
Ueraii^ f«iBOn), tnia for, ZSB 
inKuiiuL IniM fi>r, 3£2 
tmdadbl*, iniw fur, tH 
iroliUicaJ, inw for, £St 
R«y'» mpuuiioa of foni, 1^ 
IIIp, (lisloaiakim of, 405. (See 

FeiDiir.l 
illf^-jalnl, MnpiHUaoiM kl, SOS 
Mnputatioi^ eoBttnl of hcnur> 
rkw in, 9M 
Qvthntia, 503 

no^* «lun|>, !>M 
Uood'i tnuh Sri 
lIoTM4i4ir aryniRA I'M 

tiM compranM 1"^ 
fooicnUliiin^ 1&8 
wsUr in ■rWrial licmorrhafc, 
u ■ rnbefKicnt, 143 
IIowMifi iBMliod nf irtificUl n»|H- 

nUool, IHT 
Hnnuwiied l]wpl>. lOT 
iluawiw, dUoaiino of boil o^ 
8M 
Kocli«'« mMhad b, 39e 
IfoUin'inelbwIin, W7 
raduetlon ol, S9A 
■abek?icubr, SM 
■pbodnenM, 3M 

nbinhioiit, SOS 
IhMMNoisM 
coBdjlM of, »47 
lower exIrBntlT of, 347 
•h*ft of, 34it 
npiKTT rxircmiU' al^M4 
IIjrdrag«D, fwmxHir, lis 

irrinn "^ 
lipoid boBft <li*lor«itlon of, SMI 
frwiuiv of, ATtl 

ICE-BAO. let 

I nhe Hi«n, ommtM, ItnuioB 
of, 43M 
UIoTIhI, lintioD of, 

w 

ln(era«L liinltoM nf, 
Ml 



tlinr, liisloivtion of femur, 406 
Iiiltiirlnl frarlnrr, 31 1 
Ilicianl iniuiiik, ^iH 

Inciiicai, dcvp, 174 
ItiwinplMe rntciiirci SIX 
Inilcnicd frai^liire, 312 
India-rubber niiDrc, H'i 
Inferior llivroid uWr, lisXfciB of, 

liiKUiBtl h«mia, trun for, 'Xti 
Inhaler, Mlior, 214 
b^oMioM, b7pod«vinlA 106 
intn-Tcnoa*, of milk, I8S 
of Mlina mIiumb, 1M 

i«eui,soe 

nreibral, SSI 
Innnminalr nllrrr, litpilinn nf, 120 
Iiv>l(uiumt« fur >'in|HiUlic>n, Vt% 

■tcrilUntion of, 1S4 
liiteniitdUry litmorrliMce, !SV 
Intemnl cnrolid arterv, |i)^ion of, 
■127 
illkf DTtFry. linlion itf, 441 
paUn latrly, UcMitm «/, 443 
iDIMiMteniB *rtvrr. Ii|niiii:iii ihf, 4S9 
liU«rm|iwd MtuK, 240 
Iniottbial anaMofooraft AbWs In- 
diion iB^S&l 
boM plaM in, SSI 
Mlurala,S&0 
liilra-teiwiM iBMCIian of uiilk, 
IM 
of ^atini: mlilliun, 164 
Uiiilialian «f Urrnx, 304 

foedli^ OK of, 310 
inMrMOMnU for, 308 
nootb-fw for, 30tl 
-tnbe,300 

ludnfoTVLlH 

draHBg In conpMind fne- 

raw, 1S7 
118 
ImdndUe bwnia, tran for, 224 
Irrigailnf aiiiwnUtM, 137 
Irrintion, 1^ 

in 4MOpo«u«l ArMWrw^ 88ft 
nwdbUvMI 
Iwliiatie itkloiallao uf ftmar, 400 
[riiwUM itlaaer, IM 

lMM,]l» 



522 



IHDKX. 



JACKbT, plMtcr-nf-htrk K i 
J«w, bindi^ ot, oUiqne, 3V 
dialocaikni ot, 389 
tnavn of, 3Z7, »S8 
Joben't auutra, S49 
JolnU, MMppiiiR ol, IM 
Jiiffiilar vein, eilcnial, blc«illti|[ 

rnMu, 179 
Jnniprr ratirul, 132 

Jurr-naat, apptwuion of, 99 
JnM,l4« 



KNBB,dU0MUaa of. 410 
dxitro-oT-cigbt iMadHKt of, 74 

or botli, 77 
■juiiil, aaputBliuo ■!, -IM 
CartUoX *f» 
OrilllX /•OO 
KnlT«a, (unputMins. 4fi8 
Knol, cloT«-hiich, 3S« 

RMIDT, SSB 

rMCU7 

mtrnoa'L238 
Korliar'* MeUiMl In dlaloeUton iif 

liiuiieru^ 3M 
Krralio. II A 



IArKRATlvl) •roiimU. 290 
J Lorreir'a mmnulBlion at itie 
4iMiUar4ofaii, 470 
LarrapitiMn^. 304 
LirTn^-tnelicalaaiT, SM 
IjarTiiK, rPuUirt oi; 331 

luWbUiM of. sew 
LmUiot qiluiu 106, SZS 
iMMb, BMohMiinl. 177 
LMobov Anoriisn, 174 

8«aiK*)i. I7U 
LNdilnK. 171 
Lac uiitiuUllan or, 491 
tMUIat-i, 4t4t 
Tfolo's. 4lr7 
A|«n-ar-MRlt( lamdai* oC S3 
(hwUirMof, 371 
ul«r nt, (IrafiriinK nf, IM 
l^-iuhriTr* mtiir^ iVi 
IMirvIck'* vys bandaga, 37 



aru^x. 



Umtlon nt aUonlnal mart*, m 
nf ■nl»rioriIUal arwrr. 447 
in arlarial licnorriiap', 371 
of a(urt«v418 
of axlOanr •rtatr, 430 
■rf bnohial amn. <SS 
of MnnMii caroila after?, 124 

iliac ancrr, 433 
of ilorwlh pflia uM«?, 4« 
of «i(«na>l oafoUd aruirj. 4Z7 

iliac art<«7, 441 
of holal aittrj-, 109 
of fcaonl tnnty, 443 
of stntMl OTUiry, 142 
of tnfarior divrold 

434 

of iniia4iila>t« arUt^, 4S(> 
of inlcnul mmtMl arteiy, 41(7 
iline arvr}', 411 
nuBDwry annrj', 41M 
pudie arUf?, 40 
of laMMMOv arMrr, 08 
of llgoiMl afUrjr, 4» 
of omliiltd uwrf, 481 
of |ii>|illi«il »f«rv, I4S 
of (imicrior libinl artery. l-'iO 
of cadlil nrltry. 4:^1 
of tdHtk ariiTV, 44>') 
nf fuMa'riBn arur*. 4U 
of mpmtar ibrrolid 

ttt 
4if iMnponl nrtan, 4M 
of ulnar arUrv, •tM 
af voflttnl arwrr, 433 
<if mnwlad artcrin, 177 
Ugntuh' or UgaliuvBi 
oitipii, la 
ti»mie.Wt 
aarttriiw of, 237 
■Ilk, ISl 

la «Mc«larflfn«tllK 254 
double VA 
RriebaM'« !BM 
quadniid^ 3M 
ain^.', 2M 
tuKiimnniim, *J>^i 
Limual artcrv, liinuixt) of, 4Zlt 
Mnt, 144 

l.l(A«ai:'i aniMiLBUon of AmL 
438 
al ilMmldor-joIni, 48] 




IHUBX. 



623 



I 



I.bui'i MKU ouatpnmor, 3M 
Load uitMliMiiL ZlO 

IroalfDMit M hfluorrlinmi, !M0 
LoEUntiidliiiil frndiire, SIC 
I^lioiu^ vTiporutinii^ in fraeliimv 

I^kwer vsircnit*, bandagw "fjj'i 

LnxaHeoB. (8m DUoeuioiM.) 



MACKIXTOSH, lU 
H*kr boor, frMMnj of, SS7 
Munnary nrlcnr, tolwBAl, liMtiron 

<,t.-m 

Uonv-Ullwl lnnai««S 38 
Mnnliull HoirsmeOiodoriUliMat 

M»Ht)[(^, 30(1 

ill iprMiia, 3M 
Mia ilia, dMocktion at, SHU 
lower, rrsrum of 32$ 
iqiper, l>«t.1on» ol^ 337 
Mvi'likiiicnl Uwh, tTT 
Mitlinio irrigaiion. ISI 
Mnliii-oiwl jiiupautlan, 48y 
M<-r<.'irr's <Btli«t«r, Hi 
Mi-'mifj. bichloride at, 112 
Mourarml boam, HmpDia(i«ti of, 
470 
di>loMUan o<, 108 
IV»cunso(,3U 
M*bi)licait)>cUin,334 
HvUUnnl )»D«ii knuHiuiIoa of, 
4SS 
dkkNMiDo nf. 414 
flnMUfM of, 379 
UikutW* aapuuiioa of foot, 

4M 
Milk, Ittira-tMKMM tattctton of, 

Mlanr inirmn-. tOO 
MoitC dRttingn in wiMiDda, ISit 
fUfrilUod ilnMiaici. ISO 

JilOM >lt«irfMt, 1» 

MoUie'i MtiTiod in di4o«liM of 

liutnenn 31^ 
Mntiuo, paant-^^ 9X1 
MouUlnl nlMU-l^f-PHrit wlloliv 

UN) 
Motm'nl IIAiillv, KM 



lloaih-g^ In inuifakiion, 306 

Honib Ui-«ionth inUMion, IM 

Mom, im 

Muliiplf fraolitn^ 314 

MuiKh>-|[niftiD|i^ 203 

UukIml Mnint of, S94 

Miwtu<l,lM 

fooi-bftili, l«t 

papen,l«4 

plUcr, lU 
Uyotoay In dUoniUowv 417 



NASAL bonw. rnHTUiM of, 32% 
Neck and uilla, tgnn-ot- 
•l^tit bnnJain m, AS 
N««illch taMrim. 419 
cxplorino; SM 
-holdsr/sS? 
mouiiud, 336 
wUm, I GO 
•uncial, 23« 
NuiTv-gnftinir, 208 
Nllnita of sUn*, 10' 
Nilnww<ixU0K>*,S12 
KoM>, T-hMtd«Ka of, XT 
Nntriticm* ooMUta, SM 







AKL'M, 144 

' pontlir*. IW 
ObHntK- bondoM SO 
uf bMd, 47 
<>rji<r,38 



> Oedpiul mtiety. li«Uioa oE, 42V 
I OMspito-helftl bmd*^ 48 

■ttnKUl bMHUe«, *9 
• (RnuIioKtal boUKle. ItM 
'01Min>»>llii.148 
I lilk, IM 
OMilUacaliaD,»* 

radaeuan at, iU 
UtocmMn pra«« «r nlna. thMur* 
I 0(280 

' 0|wii fractufM, dnMintc at, SW 
' OJMTrUton, M»fitlc. tlcUlln nt ISA 
prapai«li»n fvr, 133 
ot ptiimt tor. IK 
of Mimen lor, 131 
Ovil MBpMlatlaa, 4lSl 




624 



INDEX. 



DADH, piiiM.,121 

r P.ifMT, Diimffin, I*! 

Pu)n.'r. piircliiiietit, 126 

splints, 3a 

«■».«!, 146 
Pmiuelin'B eoLiIer>'r ^^- '"^ 
Paraffin bamlggv, 1(16 

j taper, Hll 
rorthtuenl puper, 126, HT 
Pnnin.-liyiuiii'iiui tii'iii'irrliage, 27(i 
PnriinJ iJLiiliK'niir'D, 'U^<i 

fruodin-, Sl'J 
Piimivf niDtjoti, a»l 
Pwltib'iurd splinU, 107. 323 
PbIoIIh, dixloi.-'iiintiK ur, 4tO 

fni<:1i)te'if. 36U 
Pol liolDKiuii disli^cntionB. 417 
Pulvis, diijlnnilioii of. 3B1 

frariiirfa of, Z'M 
Penw, ftpirsl teverstd linndniite of, 

1*4 
I'eriii^leal Ilaps in ampulation, 

Periosleolome, iHl 
PennangunHip of pntaMium, 117 
Pon>jiid» of liydroiren, llfi 
Pelit's loKmirjuel. ^(12 
Phslanecj of tinstn, diatocntioiu 
nf, 404 
frBclLinw (if, a'lO 
of thuinl). dlsli-cnti'^nn nf, 404 
of VMS, dialoTulionii of, 414 
fnicinrw of, 3K0 
Plrouoir* lunpiiliili.in iit nnklc- 

joint, 4112 
PlmU'F or [ilii^Wm, 14'.' 
ndiii'^ivc 14fi 
initiKl-u^s l''><l 
[nii*tBnl. 1'H 
rrf-in, 141> 
rubber lullii-nivi-, 149 

■Ntp. mo 

Plutorwf-l'xrU iMndiiiie, 02 

uji)ilimli»n of. 1)3 
prppiiratinn "f, 03 
n<ijiriTii] [tf, 102 
«w for, \m 
ihcnr* for, 103 
InipjiiiiB .pf, llU 

1 1 n.-*" i II ir I n CO m (Kjunil f rac- 



I*la(aor-nf-PariithMida|>Dinfnrliin> 
<>r fctnur, 3tl-J,3iK« 
inicmiptcil, V) 
amft of, lUt 
jnvkeU 00 
rvmoval of, from hatuU, 

10^ 
•pliaiB in fnuMurv. 323 
moulilod, lOU 
PIhIv suiurc, 244 
Plcdjfels. iinuM, 1'21 

PoisuDLTl W'lLiniis, 'iHK 

Poplik'ul nrl<^rv, ligatiun of, tJIt 
PoriFii! fell splints, 107 
Pork'-mtixa, in^ 
I'nnteTior iibi»l *ri«T, Hnlinn nf. 

4,50 _ 
Porawiilni mnDungniute, IIT 
Pnll'ri bonrJuBe, Srt 

fniuture of libula, JTT 
Poultice or |>nuItioes, IM 

Dnliwptir, 1^ 

brroid, !5li 

cliarwal, 16" 

fermenling, 157 

flax wed, l.>e 

tiukum, 158 

abLivb, laT « 

Powder-bums, 289 
Presnur? in urlc^rial liMuorrliam'. 

2«9 
Primarjr lieraorrhaife, iiQ 

roller in frut'lun?!, 'i'SA 
Pro^uiif calhelLT, 2io 
I'rolettive, 12-1 
Prori-uonul drcwinpi in fmclut*. 

■ilH 
Pubic iJialocslion of femur, lOX 
Pnitic urlerv, inlcmai, liiniliiiD of, 

413 
Pilifliiriilioii, 174 
Puncliiml fnu'titrvi Sl'i 

woun.ls, 2S7 
Pvoktunin. IIX 



QIIADRUPLK ligBliire.2&0 
Quilli-dmituro, 243 
linill wlure, 243 



n 



I I>AI>IAL>nirr7, lialioaoMM 

I II I(l•llitl^ dinlnMlian of Yuad of, 

I Bad 

H lu. 



INDBX. 



625 



Badin% niiplijwal •ppantinn of, 

A«i)tnr« of hcMd ot, SSS 
of iMror fnd nt, 8M 
of nock of. lUS 
Kjuiiil rc^pimion, muntlicua for, 

210 
lUw-hiile tpUnti, 100 
BMMit dklsnilnB. asCT 

iDJMii^iiH, 208 

IIIV207 

RvciUBi, faeiiMinliDge froi^ 881 
lUvurrfDt bandiiipi, 24 
of htmi.Sa 

uuunatc, 41 

of •UlKD, 80 

Rcdnnkm of dUoattUinis 3S7 

of TntctDiw, 330 
Rwfknol,23T 
Repair of fridurt*, 31il 
BmiaplaMer, 149 
KaiHlKltoo, artilkikL 186 

dlr*rl mellioti of, 187 

llowsnl*^ 1 1^7 

Uanhall iritll'i iMilinl 

of, mi 
tnlTmler'* ai«(ti>id of, 189 
fomd. lot 
iMnunarik 148, -CII 
Rhlgnlona, anMiltona rmm, 210 
KiWdUooaUonof.avt 

fhwtm uf. »»2 
Bolter iMndam^ U 
iontAn. 10 
■UigK 11 
primrf. In fhMlnnt 3£l 
Fkinx** MipBtoiioa ai |]i« anklv- 

Joini.«i9 
Kiilibtr adhmli^ |ila«l«r, 149 
(MtaHnse, BO 
(Inni, l!£'> 
iIotip, ):!^ I4« 
K<ibaAu»Mito, tC3 



S 



JAC-KPM. rrartnrw o( S34 



BnliiM loliiliMi, intn-vnn-)W injoc- 

tioaot, \»4 
Stud ham 323 
8aob«B> win, InioniBl, blotiUni; 

tnm,i7» 
Saw, aoipuUlinir, tfiO 

for rtMovliig plaMer-of-Parit 
bM)>lue.l03 
eMnliMilr«Snmlsa 

In eoMpouod fractiirm,3S5 
BajrWi dnadng for &w^tir« of 

Anphiiid bone, dblocatioa at, 414 
BcDpula, dlOontloa* ot, 303 

duiac»tioa of acrooiiua p(«- 
(M* of. 393 
of b/erioraiigleuf. SKI 
frKUiraa(343 

of aoroailon nrOMN <■( 

343 
of hoij of, 343 
ottontoM pnMwwef, iUS 
of nock of, MS 
Snvlflnlloa. 173 
BoariBcaUir, ITfl 
Bdalle Miarv, liipulna of. 443 
MwM-. bawbge, » 

•kln-mfiJati, Wl 
Snilutu*' (MBdaM 68 
SwotMUrr hraomiaM 30 
U«MnMl a, ST4 
tuUirra, S3E 
SMillol'* anputalloa of Iw 4H 
8t«ntliinar oartllicM, dialMriion 

of, 411 
Smd'i boat ■•Uin, Ifll 
8nlio wuBDdi^ drvaing of, 1 43 
8MMi,imi 

noodls. )00 
Setting of tneuutt, S90 
Hlwar* for ula^or-of-IVi* baadaKb 

KKJ 
Skotiod atUu«, 24ft 
HbnoldHr. lUsloearlen of, 3M 
TedndlnB nf, 3M 
-Joint, uiijialallnn aborr, -ifi 
anpuUlicia ai, 47I|i 
Dupii/trwiV IW 
Lamr'*. 4T9 



fi26 



1N0XX, 



Hboulder joint «npabrtian— 

•pim iNincup o'/ metaiimif, M 
duKtnaiag, HI 
Slitiiorinl'R io«niIi|ne(. VU 
Silicate or iMrtSMUin bwidNge, 103 

or potwk tplmt in frwcnn^SSt 

of Mdluiu MndiMk tOA 
aik, HI 

oilH H« 
Silkvorm-fui, ISl 
i&nple diid(M«tiaa. 3Stf 

fnioisiv, 313 
SilWinnB, 104 
Si^lo llffBtarc, ZM 

rultf* fauidaw, W 

T-bMid«n« 
fiiMHM fron abnn, 2M 
Skb^mAing, 800 

wbaonsaH 

Ttiiervli't mMhed, 902 
SkKll. frTKluro of, 3M 

Smp pliuter, taO 

Soft nbbtr catlMUr, tsa 

I windlMM, 963 
r* MHnniauav ■! (booUoi^ 
'iain<,481 
8pi(m lMnd«m SI 

hinikgn of biUuiek, 76 
of foot, 7U 
of |[r<iln, MC(«i<llnir, T2 

•l«M<mdliiK, 73 
4if Bnin^ doubUh 74 
of DbouUtr. wKMidinA M 

■knoMing, 67 
of lliunK S3 
Spin plMOT. tSG 
Ml>lnl bwubse, 9U 

■wmltiMt, 90 
daMMMUMiU 
or(li«i,M 
of Sum 40 
r«ir«rMd b«Mii«t^ SI 

of Iaw«r»s4nariif ,n 

«r pMku 

of iiji)Mirextmiilly,53 
ri|illiM^ aiuuliii, anutrinr, 31H 

MMl«r'*-hMnl, 107, 3X| 




Splinb^ bindor'a-toanl, Im 

))oawl ft«Miw«& 3M 
ill fnctitrvuf (be In S7t 
Bonds 3^1 
riui>UTtr«n'(k 378 

fill. ii>-, aaa 

In coiiipoaiMl fnwtuM^3M 

riiiu-noickm 3ti 
uicr'*r-Ii, lUN 
in fncliifiM, :)21 
\etihfei. lim, 322 
puMr, 323 
pMn«lbMnL 107, 3a 
ploMor-of-nrM, in (kKtiiMK 
323 
cwmUmI, 100 
porMU fell, 107 

■iUcMe M [Mlaili, la tim*an. 
3S3 

HpongM, 190 

SjraoMiMoiwdMoMloM, IIT 
BpnOn^Sn 

nuiMRvia, 2!H 
>^ir3in-fr>Mat«, '!9t 
HfOotdtkim knot, X8» 
8tapb7lnooen»|>TwiB«s«lbiis iltf 

MTHU, ilO 
^luitli ponliiM^ 167 
BlaKlicd ImiuIwc, IM 
KUiriliMil iitmm, 4ry, 1.11 

BI0j((,l8l) 

tMirilUli^ of inunmmd, 134 

-oTim, 1^1 
SImimI mi of davUiii, dltknuiou 

of,3M 
l4UfiiaM,diaaaMliM nf, 901 

tntnit* at, 383 
BUowdiiiUMB, IH 

atnlMo^ eiMdi, 2H 

nr ibimeUi^ VI 
^Inaiptrj, 147 
Smnping, IMi 

«r bn«M, l&t 

of tMriiund^ lU 

of «li«l, IH 

of Jolnis, IH 

of IMlthv 161 

of nktn, 169 




IHDKX. 



627 



"■tnifipitiE of iil(vr of Wk. 'M 

Ml. \'l": (.1X1H |l_VORl'lU->. 110 

.■•11111^1, ni-iirn'iil liaiiil:i((v ot. M 
Slviiliu- in nrLvrinl lit'niorr)uw;<'.SC8 
Siibiutriuiiiluid iiRiputnluiii, WH> 
Snbcbviaa satay, lignliMi of, til 
SnbchTiculnr dnlocMiinn nf ku- 

SabooneoMdUoeMlon cf kumtfiUk 

SH 
SobeuiRBMiw ti|piuui% S(7 
anbtlcMwl itialnMiioan of bitnMnii^ 

AnhnliMiia ilUiMMtlan of kmiun^ 



6(ilplii>-a>it>obk of liDc, 116 
Superior ibv>i)kl tnury, li^tion 

of, 128 
SappoiiIiarT, tiU-cirrln, W9 

Hmtiux ihcrmotncilM, fiOT 
Sargtcm'* bua, SSS 

ud iMf kiKii nimbinni, 
338 
Burgeon, jiKfNinriioB *>f, fv Mepiic 

ojaentian, 134 
Knnnnr, a«HitU', nuMriaU uswl bi, 
ISO 
oilnnr, lOO 
Niiriilml etmnllnan 111 

H\i»\irtHtti Uinil.^i:!' ot litvwt, W 

ik L«lh faraaMs 7(1 
Sniure <it tauin*, SU 

LAf MMirorinatiaii, :IK 
buried. Ml 
buiioB. 2M 
CBi««t,132 
of cnnpuiion, !!3A 
nmtinunl. 341 
llwfnyX M9 
KUm[r'^ :!4I 
tunnnaatlr, :!Tt 
lisTv-liu 34:1 
Itxliii-niM>iY, Hi 
li 
: 






iloMlaal aawfaiiMrf^ SBO 



i!Diur«, iniemptoil, lUO 

JftUriy 249 

l^cnlivriX 244> 

■uiUvrial for, 185 

pUto, S44 

■luilUd. 343 

quill, :MS 

of ivIuMloii, Stft 

ranOTtJ of, J4D 

ttotinimn, 23$ 

Hcurinf 'of, 237 

■holUil,24S 

lonKoa-MtditmoTr, 24A 

(wfifd,S4X 
Sl^UeMM'iinedioduf artifiditl n^ 

pimlui, m 
SjWa BropBtBlion m HiUe-jotat, 

491 
^jrriogo, hy|iod<v»la IM 



TAMPOK. h; 
Tnnal twDK ilulacatkm of, 4IS 
tmtmret at, nS 
T^nn-tnfUUnal uipiitiitUiiA 48(1 
T-bandaM*, 24 

of cbwt, (bubl«, Z7 
■ulgl^S6 

04 ^roiD, 90 

of non^ZT 

taai(io,24 
I Tmlo'a ■mpuutlcn, 4&T 
of the Inc. 4tf7 
Tcupon] arterv, liipiijon nl^ (20 
TNwnitan. 271. Ml 
Taooloniy In illalooalionL 417 
T«BL Ui 

T*4k1o, ilnpitiM (if. I&l 
' Tlionnv-oBiuarj, T^udioTi, 171 
' "ntnaomevsr, clinioaL SH 

aHrfB0«.a)>7 
Tklervh'* naethoJ of skln-gnlUiw, 

Thlgli, aaipiiutlnn i>r. tiOl 
TliUMb, •litJ'xvilmi •!{, UH 

•pli-a IhumIhkb <if. U 
Thynibl »nmy, infirlof ll«»iti>«i 
•■r.i:i 

itUooall'ii of ftaiwr, 4(n 



&8S 



IKDBZ. 



Tow, ■BpauUon of, 483 

dislocation oi, ill 

fradurM «^ SSa 
Toofpta^nd-groove auinw, HH 
Td««io<i in Mimal kemorrbwCi 
270 

Tnaniiqiioa^ Ml 
aUaninai, SM 

Siipioriiii'*, !M 
ThtdiMu tTMUira of. 381 
IWrhMJ d)t*tonL 2M 

1VoiMBa>u'«, 3H 
ftirecpi, iVJ 
TntlieotMn]'. SOI 
WMHtbelioi io, SOH 
dli«ctar.2H 
tot Awdgn boAita, 304 

opentioB or, 399 
poililoa of pftikni far, IBtt 
•luliMh t97 
4<llw, (M« of, 308 
l^MnftMlm. arurld, IRS 
of UoMl. 180 
Airrct, IRO 
in>linr<, IH'i 
TnuMvun* (nciarv, SIS 

rwuncfit baniUgo «r hMd, 
41 
1>ai>(>t>W of p1nMor-nf-rwi« W- 

Trl|ii«r'> •n>|HiUiion of ^yii. -IM 

Tnicax. t'lnloHlw. SOO 

TroiMcMi'i tiMkeal dllalotf', S9« 

Trunk, haiKlii(« of; fM 

TnuMi^ 330 

■ppllouiok of. StI 

'ttium far ftmanil lictnia, !I33 
Heod^XK 

far iiwuiul IiwiiLl y72 
far imiwihU imtiM. 2M 
far BmUilod h«mh, SSS 

TbIw, m<«l, M7 

Turpraitlim m 
•iiiim, 10.1 

TwlalMl<iulun>, 242 



u 



Lc:eB of loi|. un|ipliw of. IM 
Uloen, aninbing of, 1&3 
I^biM. dlriooUon of, loi 

of luwvf end n^ «tt 
nr tipmr «fHl of, V*l 
tnetitn of ooronokl nrveiM of, 
3Vi 
of o1i«nuinii ptooMKal^ 3M> 
t'liiAT artery, il^Mloa nt ttA 

I'ppar •xmoilir, iModacoi of, 49 
futrsl rerertM iMnitMt* 
of, 63 
l'r«ilira. ItoiuorTluif* froa, Wl 
t'rt^iral i^jvctiooi^ 334 
I'rtiliraMiop*, 233 



V-IIANI>A(iE of boa, O 
VMctiutbn, 1(HI 
Vunilar groHllis linlurw in, tt4 
V«ln, Jiunlu, liUading tnm. 1T« 
VelptiuA faandan, £9 

■Inwinc far maUir« nf rLivido, 
AV.I 
Vmmci'ilon, )T*t 
Venrniii bprnoirltiwo. 3&V 

Ur^iiiKiit iir, 37fi 
Vonnlin), diilnoaiiom of, S8S 

fnuiarwoCSaB 
VarivlMt artMT. liniioii nf. 41 
V'MbMnn, IW 
Voaitting Ular MuMbniin, (rvM* 
niMi oi; 217 



WASIIIKU n«ii tlir UukUr, SS 
WaiM-tml, »3a 
Wuivtl fHUwr. 146 
W«i topfiliic, I7S 
Wonlen Millala, 32S 
\N'<u| mml, 140 
\Votind4 anilMnla In, 109 
MOpria ill, lOO 
aapiMto, draadn^ of, ISH 
rc-dnMUB of. 140 
<Ji«Bili«l fllwrinmhM in, 133 
(nntiiMd, SAT 
dnwiiiKor, SU 
dry itnaJnfi la, 133 




INI>BZ. 



539 



I>ioanU0d,SM 
modlftadmcilHldrwriiicila, I3S 
mobi itnwnigii In. 132 

mettind of dreadng, 139 
poiMiuKl, 388 
pUBctarcd, S8T 
Mptk^ drMdng of, 143 
Wrtst, lunputKiion M, 471 



WrM. aUocallait of, 402 
Vi'yt*b't naiputHtion M liip-jotnt, 
A07 
pliuIaiunjiiilMlnBUi>liK>u1i)«r- 
joint, 47» 



Z IMC chloride, lia 
■ulpbo-carbolaM, llA 
Zjfomti, fniciuK ol, 3X7 



Catalooue of IBoohs 

PUaUSHEO BY 

Lea Brothers & Company, 

jo6, 708 & 710 Saiuom St., PhlUilclphla. 

Tbi>u<>V> lu l(»uinai«d lltl will k«Hnl bj muH, |>»I-(«U. to iBf PnM OniMila 
Ih* l<Dlt«l KIM'S, an rM(l|i( ufUigprlUMd pilcn. Ns r>>k> aC lh« inul. >»•■•«. 
■riHiuniKl. p41»r on BiaB>r ar bogki. OfallioMO vlll UidvCan Id ibmIi 
IM U HON MSivalMl I«4mI altb tU DMMK toalMUtf. 



FCRI0I>lCflL6 1893. 

The Medical News, 

The Leading Medical Weekly of America, 



^^H OmbiB** HiMt >dianlafMBtl|r iVir ihtpraMliloMrlbsltatiinaaf tb* nmr*p*i 
^r u>4Uh >etklx "■fi'li'^ lUfrrfWDi ImMikHp lb« itadM |«aud •n lUttolMn 
ot «a>RM iMtnM iDd la tcuiA vUh tb* Inniwiil pnfimt In iJI Itsa of miillial 
kaowMp*. rtoMtdaplsttoD tetk* Dfvtoof UMictl*«pnMltlofKrl>iha<ni bya IM 
ol MiteCTtWn Iwtr enonib la Junliy tW ndaMira lu pclct 10 M.Oe r*F aBiHim, 
H Ihal II li Dbw llii (bM|a« u vail M Ita* bfM luf* ■■dlcal wvfkljr of A<a«rM. 
Il TOBUliu rnai(v«lr-*lfblteiUr1i-«vaq<iut«p«fl**«' rMdliifBiMtw U«Mb 
ten*. .^_^^ 

The American Jouniahh. Medical Sciences. 

OaoUMoi lit Id tH oeUM ffi* «ck amth, nn Aamoui Jo««x*l 
■ceDaastaatdibonMOilclBl Aitktofm lb* Ih«o| niRd* tt lU pn*n«M. 
<u*hil lUTttn and i f in t* »a ^immiIh •€ U*4kd PR«rw. lnonllB|| la iIib 
blgbart llMntj tulbortlf l» ■dJI i Imt. " frawi ihU llaaloM, wtt* 4JI Mbtf yuMlo- 
Itooa of Ike praa to* tb« liM inr r«>n diUnTfd. Il VB«U W vaMMB la rapialM* 
Out (Mti n^twtlf «' tk> '**' osDlribaUMM of lb* wmU •« —lliil idabw dnrt^ 
Ibtl piihil* 

Price. S4*o<> Per Annum. 



Combinattuns nt Reduced Rates. 

•«• i j?!m 

Tn Un-ic^L Mm vuinini Un tor ItM <nf Mow mt ta 
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TBI T«i»Boo« at Tmutwwit Im mm [h« r^a m). II M, 

Vnk allkar m Mb abata pMla4leaK Tt wau. 



TogMkar 
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The Medical New5 Vistting Ust. 

Till* tJn, vhkh b l-r fu 1^ B«> li*»bo«a an4 wa*iaitB« M« aitaliuM^ 
hailia«lbw«i(blrmlwllH' un, Jl fuS dwrl»lM, aUI W fH»4 on »•■• I*. 
IiUlHiM iBlWiMrht. rrtM,«Mb.tUl. Tk««a-*Hiar lD«mlir4<ilt« wa 
Mitii on. ror >pr*l«l OimMmiIw Ralat abb jwlalMala tadUMLXwA-ttotb 
at TTCataxal ■■• •%«*■, 
ff. l.i.J 



LBA BROTUIffiS k OO.'S PUBLICATIONS. 



A BMTT {A. a. PRIXCIPteS OF BACTEBIOLOOT : ■ FrMtiMl 

p(f:**. ollb }1 ItlsilIKllin*, CloUi. 13. 

ALLSn (B&BBISOIft. A SYSTEM OF DOMAB AHATOHT. 
■**■ WITH AS INTBOnUCTORT 9ICTI0S OM niBTOLOnV. by 
E. ti. eb*k»|<Mr*. H.D CoMpHitDf Hlld«ablf-c<»lB«B*4qiwiii 
f*gsi, villi SM ■BfTkllH^ en •■«•• on ItV ft*tn. sad Ml 
DvodfttU in lb* Ux\. Id ill imIIom, neb !■ * portfalM. Frit* 
prr tMtion, M >0, Alio, bovnd ia an* Tataar. olalk, tUt half 
Ral>1*. tit. Said h $m*$ffirlHrm >i^*. 

AMEKICAB ST8TEH OF DEBTISTBT. Ia UmiUu b; f«Tl«iM 
■ulhiitf. Ediltd b; WilbarF Lll«h. M.l> . Dtll! la Ihrm ftty 
liaa4>on>* •sptrrojal Mian TnlaoKi. («aUliilai[ SIM |v|!**, vltb 
K43 lltuHralton* tad V fall. lag* plilM. Ktic r(»j|r. Far Tolaaw. 
«l<Kh, (A; kalhcr, I* I bair Muocea, la. Fir —U if mkimpttnt 
miy, Apply (a (b* pablltbara. 

A KERIOAR 8T8TZMS OF OTHRCOLOST ARI) OBtTCTBiei. Ia 

'*' irrillHt bj lb* moil tmiMSl Amarloan f|»rlBllit*. QjaanHu 

•diltd b; Hallbaa D. Uaan, A H,, H.D , and OUUIria* HlCd bf 

Barton C. Hint, U-D. In (vur Utga MUto (olamai taapHiinf 

Mil pK**i *'*'' IMS*B(^aTlng*. and S eolorad |4kl«i. Fit •»lini. 

el4a.«ai (Milbar, |«) half Rwil*. IT. fW mA Ay niAv./«H* 

Mif|i. Fn*p«aM fra* »n applhalloB u publlihf ri. 

»«HaOR8T(JORB.Jr.) TUB FBINCIPLEfi ANDFRACTICBOF 

^ SVlUiKRY. FOB TUB U8K OF Stl'DEXTB ASH PKACII- 

TIOKCBJt. Fifth anA rcUcI adltion. In an* Itig. and haa4- 

lOmt «t(aro TSlonia at I H* pagt), «llb S43 iibndiiaU Clolli. (A I 

ItmAhmr. IT. 

AIBWSLL (BAMCtBLI. A PRACTICAL TRKATISK ON TUB DIS- 
RA6BS UF WOHEK. Tliird fdllloa. iU i-^tf RUlh. t> Id. 

ABTtTBM OF FBACnCAL MBDICISE BT AMEBICAB AVTHOKB. 
B4lla< bji WlllUa Parpi'- >* »• ^^f>- ■" "'* '"(* MlBrft 
volauiO, Mmululnc E>>IJ pag** and IM lllailtatloaa l>r(*> pat 
lOlaaa. rlolb. ItSUj laalka*. •« 00^ ball Ruiala, |1 00. SM tf 

■ M^tirifiim ^If. Addina Ik* pabllaban. 

ATTFIBLD (lOHK) CHBMtHTRT^ QESKBAL. UKUICAL AMD 
I'ilAUM.^CKl TIL'Al. TaalAb fdiliup, ■F.fUllj i>Tl>nI bilk* 
AaLlkvr TnF AaLariaa- In oaa kandataa I3av lulaai* al TBI 
pag». aiili &> llladnlioaa. CUb. SI Ui laatbar. »> It. 

BAIL (CHABLEB B.| DIBBAEK8 OF TUB BBCTrM AND A3IVB. 
In on* ilm». ral. of (IT !■(«#. *tlb M Hint and ( aoloraA plalM. 
CloUl, |1 ». Bra ;«<ti« ^ CAmM/ Ataawi/f, p. 11 

BABLOV lOEOKOB H.) A HAKl'AL OF TUB FBACTtCB OF 
HEDICINK. In ana Hia. folaoia ol 001 t-t*» OUIh. 11 M. 
ABKBfl (BOBKRTJ, A FRACTICAI. TREATIKB ON THE MS. 
UAriKHUt' WOUKN. Third Aui>>l<Barr<>uUKn(1l»badlll«n In 
oMOtu. ml sf aboal OMpafaa. ailb abaal notl'aa. I'nfmnig. 
Ditim iBOBBBT aad FABC0D8T). A 8Y8Tb;U UP UDJtTBT- 
D Hlc XEUIOINE ADD 60BUEBT, TilEORKTK'AL AND CUR- 
lOAL Ik* »Htk>a •« Knbr;aln|r b; Vt«l Miinx Maraball 
la oa* laraa aaUvo *•)>■■ nf ill ptffaa, oltb I.ll tlUtlralioM. 
aoth, ft, laalb*t,t« 




B' 



I 



I 



LRA BROTHBRS & 00. '8 FimLKATIUMH. 



DAKTHOLOW (SOBBXTtl. CHOCSRA ^ ITS CADBATIOX. PRR- 
^ V^:NTI0N ANDTRRATMRNT. In Bn« lla., idlin. >r 117 r*£.t. 

• ilh V lilurKntbMii. CIttb. liaS. Jmirmd^. 
MEOICAL KLKCTHICITT. A PRACTICAL TRKATISR 

ON TH« AfPLtCATlOHS OF BLBCTKlCItr TO MBDICINX 

AND SUKaKKY. tV.ri idliUa la <•■* Sio f al. «r Mt pk(M, 

Klili 110 illmuailoai. CiMh. t> W. 

BASHAM <W.R.) R^NAL m.^EASKE. A CLIDICAL Ol'lDK TO 
TIIKIR DIADNOMtd .iNI> TKRATUKSr. laM«IJ«' ?•!■«« 
nf J'>4 i»j«. with llluitiiUau. Cloili. %l 00. 

BZLL (F. JRFFSEIl. COMPARATIVX AMATOXir AXI> Kllr> 
SIOLOOY. In <)B> IliBO. iqlan* vfMl p<c»' *■«> !>* ■••*#■« 
Clolb, (1. S» !*ria*mlM' SniM tf ManiaU. p. U. 

BELtAMT (SDWABD>, A MAXDAL OF SUR-IIOAL aNaTOHV. 
li on* llnu, Tul. .f 1«« pkjM.*ilbMillat((Ui»ni. Clulh.SUS. 
BEBRT lOEORSBA.! DI^RASRS OP TIIR BVBi A PRAcriCAt 
IllKATlSBFORSTCDKNTd OF Oi'U rU&LMOLOOT. X« (Ml 
(4HI««. y»tj h*ii>t*BU< vauv* xil,, af Hi P^*>, *ilk tVl orhtiaaJ 
lltutr*(l«« IB ib« text, of whioh HT art •KtoUUal; «aUr«d. Clot^ 
f 8 M, Jujf rM<it, 

BILLIROS UOHH 8) TIIK XA'tiaXAI. MKDICAI. DICTIiiK ART. 
Induilliif in i>n< i>l|-babt4 K*j(ltili, Freacb, GtrKka. lulitn, and 
LaUa iMbniaal Taruu u*>d in MtdWoi and 1^ C«UaUnl ^Maeai. 
Id larv laij tiaad»ia> iio|*(UI MlaTv ittauat, obaUlalDg \iH 
pHaa and lira eolarad platai F«( lulam*, ctolb. t^ ; Italhar. %' , 
baU Umwm. id M Pw mb iy t«Uaifi»m mJ/ SfMiaaa 
pafM uo applllMlM M pnbltobvn. 

BLOXAH iC. Vi CIIRVISrKY. t.-<<>ROA!llC AND URflANIC. 
H'lib Kip«rliB*al< Naw A ni riua Traat lb* (Hb Loadon clilUn, 
Ib uag b*ii'l<dai» oiiaTa rulaae af itl na<*i. Kilb IVl tllutca' 
(l«Bi. CMR. Sli Ualber, 11 

BBtSTOWB (J, S.| A TRBATISB OK THB MIBSOB AND PRAO. 
TICB OF HKDICIKE iS«r«wh •dbUon. Una oMsta v«l»a*, 
ISU pafw. lit III a>l tat lam- C^lb. «(.» i laalbar, IT V». 

BBOUBIITT <W. H]. TUS PUL.SB. U an* 1I«. T«lua< »t ItT 
pMM, nllb >U *ngr*riDji» CXotb. fl ri. Ha* ^Mi irf Cbmnul 
lliiaiuJt, y 11. 

BROWn (LEKNOXl. A PBAOTICAL OCIDS TO DISBASB8 OP 
TIIR THROAT AKD KOi^B, lofladlat AaMlaUd Ar«itluai or 
th* Rir. !>•■ kilbt tait (slargad •dilloo. I* oa« iinpfrial attaia 
(ulaiM elubaat 'b( pagaii irtib IXlaagraTla^aa^ Vtu lllaitfatlaw 
la eelof. P'-y^ing 
,— KOCH fl HRMKDY IN RBLATION B9FKCI ALLY TOTUROAT 
C05Kt'MrrioS. InoaavoiaraToUaviirill pagH. wKb 11 lllu- 
irMtoiu, « »< Hbith arvMlorpd. aa4 I'abaH*. <Jlolb. II 10, 

BRUOB it. HITOHSUI. HaTKKIA MBDICA AND TilKRA> 
PBVTICS K.o (SIU) (dlUoa. In a** llao Tula» o(bI.i>uI«*« 
pacat. CtulA. tt »». 8a* SitUti^t' Htwttt v/ JtUmuati. p l(. 

BBDHTOB (T. LAUDEBj. A U.tNltAL OP rUAHMiaiUMIT, 
TIIBRAPSITTICS AMD MATRHIA URDICA, Ib(Ju,I>bc Iha 
PbtraMj, Ih* Hh)rrb*lo(i«*1 Atiun and Ih* Tbtraftuliral UtM *f 
Dni(>. TliI'd ami ratUtd adllloa, lu ana MUr« lulam* wf IWt 
pBC". Bltb IM illHiKatkist. Clulb. t» it i I— an. lA frO. 

BB1UT (TBOKAB). niRrRACriCK OFSURUKItT. Foartt 
Anafiaaa ((•>*> lb>l^artb KafllibaditUa. Is aadBipatlal oolairo 
*alaiD> o( IMO p%tmt. allb 'V lIlBMrallani. Ol«(fc, le M| 
laatUf . IT M. 

BUKSTUD IF-J.) tad TATIOB (B W.) TtlK PATtlDtAtlT I.Vn 
ntKAIMICNT UFVK:<KKKAU Ulti&\a)l.'a. Ywa aWi^iiM. %M 



LKA BROTSKRS A CO.'S PUBLICATIONS. 



iiumanr (CHAXLE8 H.) tur ear 



•I 



ITS ASAtOMT, PtlYSI 

OLOOY ANP DiSSASBB. 

Stadrot* anJ Prutitien^r*. SmoiiiI •diUoK. In one Bvo. *•! 

(flO PF . wilb lOT illnt. ClMh. •! ; 1»tbir. t$. 
TlOTtlH, (HEHEY T.I UrSBASEH OP TBS TOKOtJt. In OM 

I'linkit >Ih ISma. tol. of 4iA pp.. wilb 8 ool. pUtM Uid 1 w> i I(bU. 

Lliu|< clelb. $3 SD. S» Smin tf VMnienl MmiHaU, y 11. 
nUtPEHTER (WM. B) PRIZE ESSAY 0» THE U£B 07 AUMX- 
^ nor.IC LtQVOBSIN ilEALTn AKD DISRaSB. Nn Bitlllsa, 

>)lh * Frtf>«* hj D. P. OoBili', M.D. On* )>Bti>, *«!■>« of I'S 

p*2**' Clolb, 80 ecnli. 
nilKCIl-LBS OF nitMAK PUYSIOLOOY. A anr An*rtiu. 

fiDio iht tisblh Engllib tdliloa. la oB* targf Svo. tvIhiu* 
nA&TSS |B. BBUDKirSLL) AVS FBOST iT.ADiMII OFUTDAl^ 
^ MIC SUROKKY. In ana poekat-dw tloiu. (^ub* uf Utt pa(M. 

Dllti VI (DRrBtingi and o«a pInU. Clotb, fl 3i. 8m S*n^ */ 

ClifMal Maluati, p. 11. 
pHAMBEBS IT. S.) A UANVAt OF DIRT IK BBALTII A:ID 

pHAFMAH (HKHBTG ). A TUBATISB ON IICTUAN PIIYXIOLOflY, 
^ In osa ooUvo toluma of VS'l P*t>*. vltb BOt I11<|j|rall<-n*. CMb, 

CHABLE» iT CHASSTODII). TBB BLBUBNTS OP PltTSIO- 
LU<iIC.\L ANH rATliOLonlCALOUBMISTRY. la *n« baa^ 
loiui- n HI II 111 TftluD* «r4fil p*cn, villi III oDodosU sad OD*«»lBr*d 
plnlv. Clf'th, I ID. 
pHUKCHlLL iPLXSTWOOD). ESSAYS ON TUB PDKRPERAL 
^ FF.VKK. In »u>o«taru voIum* etlM pas**- Ctulb. tS &«. 
pLASKE <W. B) AND LOCXWOOD (G. B.) TUB DISSBCTOR'a 

Clolb, II iO- Btt SiKJtmii' Stritt of Matin^i, |>. 1i. 

CLASSSIt'StirANTITATIVK ANALYSIS. Tnordiird b;IUc*tP. 
?iDiih. Pb.lf. iBDDsllino.Tol orili|jp.,*ilbUIIIui. CloU.llOB. 
pLELAHD iJOHBl. A DIRECTORY FOB ThB DISSECTION Up 
'-' TUB IIL'MAN BODY, la on* lli». rol.of IT! pp. OloU, SI » 
pUUSIOB ITH0MA9 9.] CLINICAL LKCTDRB8 OH MENTAL 
^ DISEASK^. Wilb •■> Abatiu^ *! Um of U. S. «d CsModjr •< U* 

InBO*. bx C. P FoImu, M.D. !■ OD* haodiDai(«UTo *•), «f Ml 

piigw, U1uilr*l*d «Ub vaodooU >nd I lllbosratbia plM*«. Cliib. 

(4 00. Dr. Poliom'* Xbtracf It al«o farnUb*! MfBrmtolj |a «b( 

DOlKO Tolnn* of jna fig—. CUUi, 11 JO, 

CLOWES [FBANE), AS BLKJIBNTARY TBBATI8E OS PBACTI- 
CALOIIBMISTBYANDgrALITATIYKINOROANICANALT. 
SIS, N*« AmariMO fion Ibafoonh Englbh ■dLiten. I> a*«b*i>t. 
Mfot Ilmo. Toliim*orUTfM««*,wlth M llluilntioDa. Clolh, fl H, 
rWATSdOBEPH). ATRBATI6B0N PATUOLOOY Iao**r«l.«r 
V B)Vpp.,*itb 3» aniraalnga. OMb. lA Mi Uatbf r. M M 

OI)HB]r(S.MUI). AllANDBOOKOFAPPLIBDTnBRAPEtmCS. 
«n* luf* Itmo. ToUma, «ilt> klloiitalloBi. PnfBring 

nOLBMAB (ALPBBO). A KANCALOF PEKTAL.'itillUBKY AND 

\J PATIIOLODY. Wilb NoIm and AdUilioDt to aJtpi it lu Aaerlaai 

Pr*«((t«. BjrTbo* C.KialVvuav.H A„H.D,.D.D.S Uoa*ban4- 



1 
I 




I 



BBomBBS k CO.'S PD8UCATI0N8. 



piSOIE (O.FRAIICIS). A PRACTICAL TRBATIBC OK Tm DIB- 
^ RA8KS0PCUILDXKN. Sixtb tdllloo. r*rli>d and ■BlMffd. In 
ate large %rti. lol. «f Tit pff Cloth. |1 3t , lt«lb*f. SB It. 

ni)KiiiL(V) SYPHILIS rre MoHBtn anatomy. niAOiiosig 

^ AKD TfteATUKKT. TciDiIilt'l, ><lhtiol»anda<ldiIinD(,br J. 

HffiryC SI»M. H.D. aod J. Wllllaoi WbiU. U.D, In on* StO. 

Tslnma of 101 P«Sh. with M lUurtrallaoi. CInlb. |S 71. 
rntLTSR|B.X.l AKDaATDKR [I H.) UANUAU OP X'KN'KRBAL 
" DISK ASKS Idoho I:>uu. tuI. orSHlpngu.wllbllilluMraliaai. 

CI.Xh.tl 'H- 

nUTOH (JOBR C.) ATRSATISBOSnUKANPHTSIOLOOY. 
*^ SB»Dlb titltloD iborooghl} raiixd. and greallf Iniivoi'd. In oaa 

vary huniliMD* Hto. vol. of 111 paga*. "lib Hi IlluitratUn*. 

Cloth. %S. laalbar. «. 
. DOCTHINBS OF TUK CIRCULATION or TUK BLOOD. In 

oaa bindaaaao llmo, rnl, of IVX pp. Clolb. tl. 
n&RA (JAMBS D ] THESTRVCTCKB AXDCLAS8IPICATI0K OV 



r 



^ 



D' 



ZOOPilVTEli. WitblIlul,Dn«aad. In onaiap. 4ln.rul. CL,$4. 
TIATBHPOBT (F. H.) DISBASBj OF WOMKX A Ninual of Kua- 

Bar(loal OytmoUgJ. For tha hm at SiarlmU and Oanaml Pra«. 

litioBara B<«and tjlllon. tn an* bandiunia llmo. *oluin« of 314 

paxaawllb id; nUilroliani Cli.lb. f I 71. 
TtATIS(7.K.) LRCTCKBS ON CLIKICAL MEUICINE. Eaeond 

edltivn In on* Iluin. Tvluna ur2!i' pagat. CInlh.tlTi. 

DBLABBCHE'SOKOLOOICALOUSEKVEK. Inona UrjtoSto. vol. 
bl •»* i-'K*; oilbSOOillailFBtlont Clulb, $(. 
.RATER iJOUJI C.) HBDICAL PUYSIOS. A Taxt book tot Sin- 
J>nLf aad Pcutillontti »( Madkina. In oDa b.indioin* ocUra tol- 
naa ft IM pagaa, BtUi X1S illtutrtiUono. Clotb, t*. 

DROITT (BOBBBT). TUB PUIXCIPLKS ANP PRACTICB Of 
UODERK SUUOBKY. A naw Anurlean fram (ha Itib London 
adlUon. adlud \tj SUuIrf h«jd. P.R.C.S. In una Uitt oalaio 
Talaaaorf4ipa(<'t,wilL3;iaiu>tratiai>t. Clotb, ft ; laalbar, ■&. 

-nVHCAR (I> MATTHEWa). CLINICAL LKCTVRBSOK TUB UIB. 

■^ KA^K«OP *OMBX Dalirarad in St. Uarlbolamaw'i Hsipitnl, 
In rrnr MtaTS lolume of IT& pagal. Clnlh. $) AO, 

nOROLISOH IROBLBT). UBDICAL LK.YICOKi A DIcdonMj of 
tledlral li^icnta. ContBinlD|- a aanel*«*ipl*nalion of th* indoga 
■■bJKW and (arm* of AoalntDy. Phjil»l«gy, Palhotogj, ll*giana, 
Tbaraptslka, Pharmaevluit}'. Pharmaoj, 8arjicry.0b>talrl«>. Midi. 
«al Juiliprodaaeaand Drniltti; , Du(k»afC1iiDal«an<lot Mlaarai 
Waltr>.Ksl■■IllB^«IUKl^inal, Rnplriraland Ulatallo Pr*|i>tatioBi: 
>ilh tha aroaalualtun and Etymolosy aribr Ta '-Uf, and tha Fr«Dcb 
*ad ulbri Sf Donjnta. Edlt»d bj R. J. Dnngll on, H.D. In on* 
TOfj lar«a r»jal 8to rol. of Hit ptf* CiMb, tt SO ( loalbor, 
n iO; half Ronia. $S. 

pOE« ;aOBEBTT) TBXTBOOK OF TIIRRAPBUTtCS ASD MA. 

^ 1 BKl A M KOIOA. Id ona lira, rdUuH at bU pigai. Cloth, 14 iO ; 
loatliBt, t* SO. 



LBA BAOTaSXS Jc OO.'S PUBLICATIONS. 



DVEVnr (OHAHLU H.) TRR KAR : ns ANATOHT, FHYei 
" OLOliy AND mpKAHKS. A PwUmI TtmIIi* for IW D*a «r 

8lu4sBlt iinil Ci»tlli(iB*n. EwoMl tcJIIioB, ImoxflTO. *•! *t 

iM |>p . Milk Id; lllui. CiMli. •« : U(ib«T, %i. 
OUTLIK. IKKIST T.) DI88ABBS OP THR TOKODE Is oaa 
^ pockil-ilo llud. *ol. e( Ihtff., Bltk B tal, |iliitfii «»4 I wtttt u U. 

LImr Molh, t! ill S» .Stxi </ Cliitiiml MtHuali. p. 11. 
pABPENTEB (WM. B ) PRI7.R B6AAT OK THK USE Or ALCO- 
^ UOLIU LIOtlOKK 1> UKALTII AKD DISIASK. Hn RJlllaa, 

wtitt a Fnfao* fcj D. F. C»B<li>. M D. 0»« ISno. toIubi* n( IT! 

pagti. Clolb. A* etnii, 
PftlNClPLBS OF linXAN PHTSIOI.OOT, A m« Aavrhaa, 

fruB 1h* tifhih Knilj'li ■Jili^n, lit nna Iftr^f flfOr Tolatn* 
pABTEB (R. SBUDERELL) AHD FSOST ^W. ADAMB) OFIITIlAL> 
^ NIC 8UR0ERY. In Dn> pockct-tur Ilni. Totu«( «t »M piffM. 

with VI *iiKn<ila(i< and an* |iaU. Clulk, (; 15. Bm Sdnw if 

CAW^JUtaMb. p. 13. 
nHAKTOl {T. E.) A HAKUAl. OP DIKT IS nXALTH AKD 
^ DIRRASR. In •in>baD'l«>iDtH>» rnt,ar501|a4tt( Clolh. |I II. 
QHAPIIASfHXVBTC], A TRKATUB OK UDHAM PnVSIOtOOT. 

In angiMUro Tolum* or >U pagM. with SOIt llla«tnlluaa, Oath, 

%i » : lMlb«i. f« M. 

CHA8LEB iT. CRAIfSTODIIi. TBE BLKHIKT8 OF FHTeiO- 
LO'llCAI. AMI I'ATlinuiaiCALOJIBMISTRT. In «na bwJ> 
(siti* urtivi' «ilus«Df (»l p*((*, wtlk IV •sodtaWaaAoMMtartA 
pUlr. Cl..lb. 1 M. 
riHVKCRlLL (FLEBTVOOD). ESSAYS ON TUB rrKRrKRAt. 
*-* FKVBK. In»n*aetaTo'«Um«ot4Mpa(M. Oralb.llLD. 
riLABEE IW. B) ABD LOCEWOOD (C, B.) TBB m^RKOTOIl'S 



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UANt'AL. Want ilm-. •aiuotcf N»A pafM. oilA IVUIailrUtonf. 
flolh. tl bO. Sc* SluAtiUt' Utrui tf Abniia/f. p. 14, 

CLASSF.n-S qt AKTITATIVK ANALYSl^j. Tt*ii>I>I*<I hy BJfar F. 
Rtniiti, Vb l>. InaDiltmo. Tol ofSMpp , hIiIi.U lllui. Cloit.llM. 
LELABD tJOHII), A PIRBCTORT FOR THE DISSKCIIUN OF 
TIIF. nti.MAN BODT. lB(.n*llB<>.«ol.«rilapp. Otvth.ttit, 
nMUnOR iTBOIUS %.\ CMKICAL LBCTUBBB OH HEHTAb 
DI5i!AeS8. WUk an AI>iI'h< i( La*i sf U. 8. oa Catl^l; afiV* 
Inian*. by 0. F. FoIhb. M Ib>b* h*a4M«* utiata *at, af Ml 
p«CM. 111a««m*4 »i«b ***AfBU a^ • KlhiRTaphiv H*Im. CiMh. 
%k *a. Dr. Fabva'i M>uitt* It al>* faraltlMil Mparauljr la ai* 
odUtv *«la»» «r IM pH**. Ciotb, tl SO. 
nt-OWEifFIABO- AN Kt.BHBKTART TIIKATTSR nH PRACTt- 
OALCUBMISTRTAKDtjrALirATIVK INOKllANtCAHALT' 
813- !)•« Antrlranfiainlkafaarih Eactlab adKlun. la ••* baa4> 
»•«« llaD,tolaM>(ark^T|>4|i«a.aiUMlIl«*lratla«ii. Clnlli, tl M. 
riOATS <IOSEFR) A TKXATISB U.V PATnoi^aV U •>•■ tal. af 
• l*||<.wllb air* anirolaft. Ol«4fc. t»&Oi laalirr. •<! t« 

A IIAKDROOKOFAPrLlliOTIIKIlAI'KtrTICB. 
lulana. with lllBtlnlkont. Ptf^nng 
/lOLBHAB (ALFBEB). A MAKCALOF DKNTALf>tIKUKKT AKb 
PATIIOI/XIT. «UWllaA««a«^ M41U»M to adaa* tl ivAanleaa 



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ana Urga ISma. 



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I.BA BROTHBRIJ * CO.'S PUBLICATIONS. 



min>IBfD.FXAircU>. a PRACriCALTHKATtSBONTIIKDIS. 
^ KASBSOPoniLDRBN. SUlh «>IUinB. r*<u»4 •1)4 FnUrf:*a. Ik 



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• t(rj>*8ia. tnl. (i[TI*pac». Cl*ll>. |S l&i Ttalhsr. SA ti. 
flORRIL (T.| ETPB1LIS:IIS MOHBtti AHATOHV. tllAtlNOSIS 

AND TKBATMSKT. TrtuUivl. vllb n<i4*( and kddiiUa), by J. 

B*nrjO SiiDM. M.D,»<1 J WillUw Wbli*. U D. In»«S>o. 

Tdas* of 1(1 p*K**> *>>b )*( illuMrailona. Vlolh, 9S 75. 
riVLTBB (I. M ) AHD KAYDEH (J. B) UASVAL OF VRNKItBAL 
^ DISBASX8 Id am lima. *«1. ofiSV iw|«,«ith U UlumUDM- 

Clotb.tl >». 
nUTOH IJOBM Cl A TRKATISBOX nUMAK rnTSIOLOOy, 

SsTtnth ■iilitrii Iboioutbl; r*iiH4. mil gctiilj imgaoifl. In vn* 

**t; han-l>iim* Sio. *el. ct Til |i«(«*. nilb liS illuilrattua*. 

OlOlb. »»; iMtbfT. tA 

DOCTHISBe OP TUK CIRCOtATIOK OP TII8 IILCIOD. U 

ODtbudiom* Itma. vol, etm pjt Ct«lb, tt 
-nAKA (JASES D I TIIEfiTKUCTL'KB AXDCLASSII'ICATIOX OP 
" TrnVUVTHS. Wiihll1ail.oD«a*4. lDDnalBp.lt*.rul. Cl.t*. 
TtATEHPORT [P. B.) Dt^EASBi OP WOUKK. A U*nB*t or Jlaa- 

giirfi^nL Gjnvoutafjr Pn lb* 99* of 6lB4#fiU A*d Onvnl Pre*. 

lillooani GeooiiJ (illtlas. In Una tim»iuim» llmo. tuIua* of 314 

ftgtt oilh l*T llluiinlWM. CMk. •) ;i. 
rtAVIB(P. H.) LKCTL'REB OX CLIN'ICAL MBOICIXB. SMon4 

sdllloa losn* lime, ■nlnou af Snl p*IC**- Clvlb. SI 71, 
-nl tA BECHra OK0I.0I.1ICAI. OBSBKVBR. laaM l*ig*a«a.v*l. 
*' arTI)n|.tf;*<.*<lb3eDiilBitfalien( Otnlk.X, 
-nBAPZR (JOBS C.I UKDICAL PHVBIOS. A T*ll b«k for Bu ■ 

JtnU uiil Pii>ilHiun((> uf Madltin*. la on* h>Bil**a« mUto tal- 

am* cf T)l ftft*. vilb 1*8 lllattrnlUiM. Ctotb. fi. 

DBniTT (ROBERT). TUB PHISC1PI.B8 AND PBACTIOB OT 
MORBRM HVBUERY. A a*> Amvrlcui IV«bi Ibt Ibb Lnslaa 
■JiliuB. wtilwl hj £UbI(7 Rn^'l, P.ILC.8. la tar Urg* MU«* 
lalBHtofHtpagFt.vilbinilluMralion*. 0Mb, 14. li>lb*r,a>. 

DUBCAR tJ.MATTHBWS). OLINtOALLBOTUKB^ON TUB IMS- 
KASHA i)t> VOMB!(. DollrariJ la Bl. Bar<bolsa<«'* lluapUal. 
la "a* otlkTu ralams of d ^(*<. CMb. tl tO. 
nUHOLIBOn (BOBLBT]. HBDICAL LB X ICON i A UklUDarr of 
Mditral Stltae*. Cantalnlnf afa«ri»ajtplaBslb«a vf th* <atl«u* 
Mhj*crt( and laTatof ABdonf, l'h]itl<d«c;. PalboloKj, llfiUBO, 
Tb«rapTa1lH,rbaTna«i'liK)', I'hafaiHjr, fturgtFy.itWiaUUa, Mf4i. 
«al J*rli|-raiUs«*aBd D<a<lMt;. ■lUitr.rinfCllBilaBn'lnr JKInaral 
Walan i fuiwulnfaKXIIi'liial, KM|<ltl*>l(iid DIflallr I'raiMiailniii. 
vUhtbaMaaiilanlluaaad Kt)>B<>l<i|ij •IthaTai-at. asd lb* Praarb 
■iiJolbfi 8;i>«a]>BM. Edlla4bxH.J DuafO^a. H P. la aui 
Tarr ■■f||*r..|ra1ilio (at. of llSlpafa* Clalb. Id tUi Uatliar, 
ft Ml : h*<t ItaHta, fA. 
pDBa (ROBERT T » TBXT-BOOK OP TltBRAPBiniOK AND MA> 
" TKKU MKOICA. In •■« An. lalwtot M4 pH^. aaih.lAMi 
Itatbaf, $* t*. 



LRA BROniRRS A OO.'S FUBLrCATIONe. 



QBA*8 OAMVEtO t A STSTEM OF BVKOBKV, PATIIOLAOIOAt. 
UIAtlNOlSIlCTllEftAPEtTiC AM> OfERATIVR Siiih >dl. 
Uo*. Untaufblf tTittxl la Iwo iiD|'rri*l wUith Tiilsmat teLiais- 
Isy Ua3p*g<«. aiib KIIinuMtMlon*. Sdakflfkoub-I In U*iL*r, 
nUc4 ba>4i. Sli 

A PRACTICAL TRRATICX OK THE DISIABKS, HUD* 

rlMKod H»ir<>fnMlott>>r<h« L'rlnarj HUddrr.lli* PrMlala UUal 
■»4 lb* Cn(b», Tbitil t4ll)an, ihvrnuUj ratixd ■n4 narh 
Vonilani»4, bjr ttimaal It. OtHi. tl.D. In uB* iMlaiaTAlan* vf 
t:i |U(>t. nilli I'O illai. CIMh. (4 )«. 

A PRACTICAL TREATISE ON FORRltlK B0DIK8 IK Till 

AIR PAt'i'ADFi* tn 'OioH'sTol. ef44ap«B** Cloth. atTl. 

HABEXBHOK iB. ) UN TIJI:: DtSBA^Ee' OF THE AHIWMEN. 
AtlltOTIIER PARTS flF TIIR AL.IH8KTART CASAL !toMa4 
Amttlraa. frnn lb* IhipJ Knulbb (dlllvn la aa* ha>4MO> ftt*- 
totumt at SU )>*|<>. "ilh lllai. Clalb, |3 It, 

HAMILTOir rALLAN KcUHB) XSRVQUB VlUKXBKti. TIIKIB 
L>Kt-CHIP110N AMITRBATJIRXT. SarnndaDdrcrlod-^tllna 
lBon*«tai>i*la»«ar&VMp*|i<ii. sllbTlllIuit»ll*«t, CMh 94. 

HAHILTOS (rSAKK H.) A PRACTICAI.TRRATI6B0K PRAC 
TURRli AKI> DltlbOCATIUNf. Klglilb ^aUl•>a, r« Ixil and 
•dited bjr SlrpkHi ^aiilb. AM . H D. In oat b»iil>Dni< Svi.. iqI 
al Ml i.(i(*>. "lib &0T illupirsiibnt, Cloli. fl tO; laubrr, |S M. 

HARDAWAT tV A) MaKI'AL OF 6KIK DIfiRASBB. la ai* 
l?mo i»l «f 440 pifo. I'lolb. M 
HARB IBORART AHORT) A TRXTBOOK OV PRACTICAL 
TBIKAPEI'TICS. oilb Hpaiial lUtrt**** l> lb* A|>|.lin>lt.>n uf 
Rvaifdul Mmur«* Iv t>*ira»v and Ibe&r Ratjili'jii^vdl njvn a 
Railantl It»ti< With arlirlM n* v»i<'at aut^vti by ■•l]<hn>aa 
•IHliliiii. Kiw |,Mi nad F*itHd adlllaai la «b« haaAtuaw MUta 
(vlumt of i*t p*|:» Clqik. tl 'ft i iMlbtr. ft Tt 
HARE IHOBABT AVORTl. Xdlloi'. A 8VXTKM OP PRACTICAL 
"■ TlllSRAPKl'TICR. Bj A»r(latD and Por.l^a Aalh-.r.. U* 
••ri*( al i**UlhulMfii hj Til laiiniM FhjtKnn: Ibrc karga 
•aUro talainr) tonipriiing 1M4 fp; allb 4(1 llluatitlMii. 
PrtM ptf lalana : ClMh. $i: kalbar. fti half RuB4ft. IT n. Faf 
)•!• b; mbiMiipliu* anijr. AddrnM Iha Pabtlibtri. 

HARTSHORNE (KERRy* KX^EKTIAM OF TUR PKIXCtPLKS 
AM>rH\CTl<.fiUFMnilICINK Fifth (dltU*, In ana llsn 
Tolaiat, nsD i>a«H, ultb 144 lllultalluna. CMh, $i ISi twU 
fcavnd. )S. 

A HANPBOOI^OF AKAlOHT AKD PIITPIOLOOY. Ii ••• 

ISua oluBr nf 31* p>«*t. alch no illu>ii>lli<n( C(«lb. ft Tl 
.. A C0K8PKCTUB OF TlIK MltHtCAL tiCIK»CKS Cant. 

5kiin| ManatU a( AaaliMnj, Vkj'Mvfy, ChtmMtj, UaiatU 
•dlea, Piacllei •( Hcdldas, Cargrr; and (ll.iiiiilo, ^*«-iid 
*ditl*n. la nn* r*j*l Itnm. lelani* nf 1016 paKit, *Uh 4T7 Ulna- 
Iralloni CInlb. H Sli l»lb<r. ft *« 

HXmAX (0 RBRBRTl. PIR*<T LINEft IX HlbWlFRRr. U 
«n« llniv. T*l, of tVN f>*ir». ollh M IllaalnlWiu. CMIi. tl tt. 
8h Slm4iiiUl' .trWM a/ Mii-nuh. p. 14. 

HRRHARR ID RXPBRIMKNTAL PIIARHAOOLOOT A Hud- 
hMb •! Iba ll«h«di far IMaralaUl )b« Ph)>(M<cl'«l AallaM aC 
Dnita, Traatlatadbi Ilohaii UMdetiiillh 1I,D. la nna 11m* »al 
*i m paiiat, olib H: HlutlralUnt. Cli.lb, $1 W, 

HILL (BIBXRLET) HVPIIILIti Ani> LOCALCOKTAaiOlIB DIB- 
OXDKRo. In i.iif fit.) roliinia*t<;« patrra. CInlb. |1 ]* 

BtUlRR iTHOHAIl. A HANDBOOK OP HKIK MKKAMKJI. Hf4. 
iBvnarujalltmv. iftl. «1 lUn-.vUhiAaftataa. OlMh. II U 



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LIU BROrnBR? It CO.'S PlTBLICATIOttS. 



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HIBUT (BARTOH O-I AITD PIBMOL (OBOBSB a ) HIIHAX NDX- 
gTHOlilTIBS. HaRDiOMal (vllo. MotaUag SW f^gm of (ul ■a4 
illB«lr*t*4 with 113 in^ntHnf* aaJ U (■'ff* |Aiatacnft>if pl>t** 
fian D*li(*. In fnur (larli, prio* Mflb, It. nrl l\.,jini rwtJf. 

HOBLTH rBICHABO D.) A PtcTEONARY OP THR TKRHil USED 
IN HEDICISK A.tD THE COLI.ATEBAL SCIENCES !■ <»■ 
llmo, Tvl.or tttilnaUr colnninril |>p Ct'vlb.tl SO ^ loihrr. SI. 

HODOSfBQOH L.) ON DlKKAsr.!^ PKCl'l.tAK TO WOUKN. IK- 
CLliIUNO bISPLACKMtlKTK OF TlIK rTtKtlS. Srcand in^ 
rrri-'i! rilLlinn. In nnt Hto, t«laai* at IIV pKRx Clolb. I* iO. 

HOTFHAIIX IFBEDKRICK] ABD POWER (FBBSBBIGE B.) A 
HAXVALO!' CHEMICAL ANALTSIB. ■>( Applied Mlh«Ri«iiiin«. 
tlan ef U^iliriniilCbftDtriiliiinillhdiPnHKallaat- Tkird ■illltto, 
BDlirttjr tanrllisi) Bod uiurh *nItrK*<I. Id mi* liiB4*nDa ueUTO 
T»lum« of G>l pam, >ltli 170 illuiiritH.ni. Clolb. It K, 

HOLDKNlLVTHEBl. LANPMARKtt. JIBMCAL ANDlirKalOAL, 
Frtm ik< third Bacli>)i xtiliun. Wiib aildllUx, bj W. W. K<*n, 
MP. In on* ro^il lima tcl. orifBitn C)"lh. |l 

HOI.LANI)|alBHE»RT|. JIKt.ICAI,N0T88 ANt>ltBFl.K<rTI0X8. 
Fi'iiu :<d L'Mjhih 0.1. In un> *ja, lol of 493 nP Clulli. t't 10. 
HOLHES iTIMUTHYi. A TKKATtgB OK t<DROKRT. IK Prinris 
■ ii'l Piiiiiiio A n*« Amfriotn Irnm tb* flflb Rn(l>ih dlillon. RdV 
hj T. ficltrrlDe I'Lk K It C ^ Id aa« bnadxpn* mIatv voIos* of 
IVOR U|i>t.iailh4I?^>ncrti'lnit<, Clvlb. |dt Ualbrr. (T. 

A^VSTBUtlFfil'KlICKY. Wilb bdIfiibiI UilitlcDih; nxlou 

AB*ri«a» nalbon, Kdiwd bj Joba U Pukard. H.D. Iiilki«**<rt 
baodioa* 8(0. T«b. taalalBlBf tlJf doubl* «olsiDii*d PM>*. "ilk 
tn •oodeat* aad IX lllbi^tapklc pUlM V*r tdIub*. cl*<b. |4i 
iMllMr. t* ; hi If Ituilll. IT (0. Fir mlt it iMturirlitll fllf. 

TTOKBER IWILLIAM E.) aPECIAI. ANATOMY AND lllliTul/IOT. 
'^ Blcktb«<ll(ldn. NTltrd aa^tnodiltd. In l>alir(>S>0.>ali. of 1047 

ra:M, MBMlnlDgllBvMibvU. Cl«4h.|4. 
OB {K.t LEOTURBfl OK TBB STUDY OF FKVBE. la 
LL anc Mta«o««)an*af IOHp«(t(. Ctolh.lSiO. 

nCTCHimOB (JORATHARl. RYPHILIS. In •■• pafhM (In ItM*. 
U tciaat *f Ml p<«><i. -lib 8 ebr*«(-.)ltk<vr«phls plala*. Ololl^ 
•1 U. B«> ^iM V' CUainl MaixmA. p )I 

TrtDB(JAI(EaBBTIRI). A PHAOTtCALTRBATISItON 0I6KA«KB 

"■ OFTHRSKIN. SMond tjltlan la oa* binAfon* iKlaT« lolua* 

Die;* )>a|t*f. vilh HlannraTingaaod laotMvd alaLai. Clalb,|l iO, 

IrAlUr. I? 10 

TACKftOK .OEOBOSTBOKAi). TUB RBADTREFBaBXOBHAMIk 
u DOCK or MSEASKS OF TUB SKtM. U «•• Una. vol. «f (44 
t>p , wttb »» Ulwuatiaa*. ILTy. 

TAMIBSOmW.ALUB). DtSBASSSOPTIIK ^XIM. Third odllloH. 
U la on* MtaTD tnlDn* of AaO pa«i, «iih ■andiut and B d««bl« p*|* 

tbtnma-ltlbc^apble plalM. Clolb, |*. 
TOBB«(0, RARDFIELD). OLINICALOBSERVATtONBON FttHO. 
J TIONAL<(BRV»t1.iIlIfiOKbRR«. 8>M>n<l An«riaaN*dll>DB. !■ 

oa* •cUto ttftam* of 34t p*ll*<> CMb. |t li. 

TOLXR (HEir&T) A nANUnOOK OP OPUTUAUIIfl 80IB!tCB 

U AND PKACTICK. In on* Hx., t.lua. sf 4«1 pagM. ••lib IM 

■aod tao. II rbr"nia-lliboirr*phla pl»t>*. I*tl l/paiaf J»(*r oad 

Sndtia *kil Uolin(r«n'i CoUf klladMu Utl. Bacllik adlUt*. 

Clolb. |M0, lnU*(. lOM. 

IHO lA.P A) A UANUAI. OP OBfiTBTRIOB. B**(»lh)a4. Ii 
nnallaa.tol »f«t<n>.«lth IMUIm aolh, |t.H. 



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KLEtB<E) BLBNKN'TS OP RISTOLOdT. r*«rUi •4iUM. Is 
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Cloth, 11 T». B*t amdtmti' Svm»l 



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LU BKOTOIBS k 00/8 POBUCATIOIIB. 



T AROtH (BKirBT I THE H ANAOBHERT OF LAIWK. !■ •«■ 
" b>B4»»D. Iloin '»IaiB« or 3IV »>«■>. «ilknma>. Datk, tl Tl. 

LAROCHEdl TRLUIHr PEVBR. In l>« li«o.r<.l«. arUM vhM- 
CIsib. IT 

PNEDIONIA. iBKBegrn ><.| ar 4t«|.*|M. Clolk.lt. 

LAVREKCE (I. Z.I ARD MOOR (BOBZST C.I A tlAXt>T.IWM)X 
OP OPIITnALMIC 8DR<IRRT. Sttoxi .4illuB. r**l»4 hr Ur 
La<if«w>. I«ia«a>i> (Hi H'- n^. ""^ ** >tl". OInlli.llTl. 

LAWMR (OROROE). IXJL'KtES OP TUB EYR. DKllIT ANI> KYI 
LIII!t, Pr*mib«lMl Rnjtikib nllllOM. to VB* hiBilMai* MU* 
Tulun* af 4M ■■•(•«, «llb n illa«4nl>a«i. Clulk. |] )* 

LEA IREITRT C.) CJIAPTBRS rROM THE RELiaionH nift- 
TOM OP HPAIS. cKSsnRiHrPOF THB PR8M : MVSnfS 
AND IL1.I.-U1XATI; TIIK KNbBMOKUDAS; HLBANTONlSO 
DR LA nUARI'IA; IIRUM>A DE BARDAXI, la <iM tla*. 
Tvlnna al til p»g— CMk. tl.M. 

rORHULARr OP TUB PAPAL PRNtTBNTtARY. [a m* 

t>*. Tul fl m tmtft. Hllli rrontiipUn. Cloth. II id. 

Kl'PKK-aTITION AND lOKCR. KilSAr^* OX THR WA<IXR 

OP LAIV. Till! U'AUEII UP 8ATTLB, THE ORDEAL AKD 
TORTtlKE St* (<lh' xliltoD. Ili*ra*«lilyr«*i*cl. U 'ik* IihiI- 
(Mil riijal lima, nil vfCR ft^t**- Clulb. I) 11. JiiM rwiff. 

' flTUblBBIKCIirilOII tllDTORT. Tb" Ricef lh> T**»*r*l 

Pn*«_BM*aior Cl»r(j— KiooWBuaUXiaa. K*« •JilUa. la 
oar huiJicw* IIbb, rol. af IPt f^ Cloth. 11 1* 

AS HISTORICAL BKKTCM OP 8AC]!KIx)TAL CBLIBACT 

IN' rilKCIIKlSTIA!) CUURCU. Staood •Jiliaa. laoa* 

KB* MUio volmDodm pi|(M, OI»lh. |4 tO 

tEDeeR. Tu>: UKnirAL xkWR piirsiciAXB lkdoer. 
I*i» MO l»c>i U-le*r ra»r r«l«l la approTri tl;l*. StruB(l; 

LEE (BRRRY) oh SVPUILIS. la vatlro Talaa* af 144 fap*. 
CiDlh. II X». 

LEHKARR (0.0.) A HAKrAL OP CIIRUtCAL PIITHIOLOOr. 
Inen.ftrv tot sr 3tl^(ft. *llb 41 ■•nUfUit CMb.H tS. 
TEIIHHAR (WILLIAM). A »r8TBM OF UIDWIPRKV ta<l><- 
" tnf Ihr DUhim of Pftfaanar *■' (ht Pu*rp*nl 8Mt* Pbarlh 
rdilioa. !■ oai «cU*n *oUiB« Of •**•( IM ft"' ""' •(■"■i 
HI llliulntloDi 

LQCAS (CLEMEXT). DI8BAeB9 OP TRE URETHRA, fnftftig. 
S*« .t>r<»>/ Cli-lrml MaHuvh. p. II. 

LUDLOW <J L ) A MaNL'ALOP BXAUIKATIOXI! UPON ASAT- 
0«V. PlIVl^IoLOUY. mtlKOKKV. PRACTICK OP HRblDIKB, 
UllHTKTltirH.MATKKtAHrDtCA.OIIEllll<TltY,PllARMACf 
AMt> TUKnAPKl'TICft. Tn abUb U a4d«4 ■ U*4ka1 PoraiaUr*. 
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LOPri M.lKl'AI, OP CnEMIITKY. for lh» tta. of S4a4*at. ul 
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Cl"ih. |:( fi.« .Si-rf.od'.'WtMrf Af.ioiwf', p 14 

LVMAH (HllIRT M» TIIK PKAC'TICK OP MKhlOlXE, In hm 
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LYORI (ROBEST D.) A TRRATIfiR OX PBVER. la «ea atlava 
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All fmf. "Uh JI6 .b8i"l»St <;^''*. »*■ 



LRA DS(fTHBRS k CO.'S P IT R LI CATIONS. 



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ASDAia .'irr SntJ4mf' Striao/.AniStHttfCiiHitml.titUamiti. 

AR8H (HOWAtB). DIEBAHBD OF THE JOlNTa. la od« II**. 

TnUma nf 4<in pik|>ri. wAb M lltaMrittoDt knd a oal«i*4 ftkl*. 

Clal>i, ft e,, }^.m tf Vh^iml »anH„li. p. IS 
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UM ^r Studanli and Pri«lt(WDir*. SMond aJUUn. raiUt.l br L. 

P. Rh. U )>. U «i» I3dd. T«|gm «r MO pif«*, siib II lilac 

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ULZB (MHIS), TUB PRACTICB OP SORUKHT. FatiMb 

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■ Imn.lM !«(•(, 40 wogrlemi. and tulatad pUlaa. Cluib, |t 39. 

8«e Stttti at Vlimr\il lUamwtll p, It. 
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»«EK <IOBB H.;- MEDICAL DUOKOelS. la oaa r<Jg»i of 
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METTLi«RIP iBI DtSKA^KJl OP THE BYE Faarlb Aoprlean. 
''' rrirn flfita Knellib tdillna, la »»* rnial ll-no, iaIbib* if &0i 

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larjad In i>o> largo k>i>. rolun* of 6Hl pagaa. wilt tl lllutlrB. 
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OTDROES lOCTAVIDS). AS ISTROHtfTIOS lOtilKHTHDV 
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7UIT (LAVIOR) OieftASKS of WOUKN AKD AUbOMINAL 
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rHWES rTHOHAS HAWXES) A HAKUAI.OFCI.iyiCAt.HRm- 
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ronra«)Dr*d plat** and natD«rsiii woadfuli, Clutb. |4 tb. 
•PATIOS (AlFSIS t.) MKtilCAI. JtIHIfll>KL KKNCB. HlBtb 
■L Amoltiin froui larlflb Kacllib *dill«n, uptoUII/ r*Tif<d bf Clark 

Bfll. Rii ,<>f Ibf N Y. Bar. In our larcr ocUto lolQac. a/ 1ST 

ft"- "">> i^ >"•••• ClDtb. tt iO : Italbir. |t ^a 
ON POISONiS IN UBLATION TO MtlML'tKK ANDMKblCAL 

JKRtSPKUUKNrK. ThirilAiii<t>rin(n>B.lhrtliiid LoDdnD adl. 

IIOB. In on* oMnTCToIoB* of Tan ytgrt. wlib IM lllBitrali«Bi. 

Cloib.SiSO: Uatbfr. »t iO. 

TATLOB (BOBEKT W.). A tiLINtCAL ATLAS OF VKItRRBAL 
AM) SKIN MSEASB^. laclu-liBK Mifnofli. pTHgnatU. and 
Trtaluxnl In (iitlil >i>r|t* (olio parU, B»*turin| N 1 18 lacbu, 
and eoiapritlB( 213 brautiral BgiitM an M (ull'P«ga sbroian-lilha- 
(riphir pUlp-, 8i Ant «B|tmia||r, and 4J1 puRW of tall. Con- 
plaW sork. nu* r*«d), Ptle* ^r pvt. taaad In liaaij an]bi>F»fd 

Cprt. f 1 id. II«uod In OS* talBB*. baJ/Rowla, ft' , ball Tntk*; 
bt<Kcot $1S. /W u^f Ajr nAtrriftiou vrntfr Adilrrw ib4 Tub- 
tijhar*, Sp««LmtD p^nUi br mail an rtM'pt of tan t^nr* 

TIIK PATIIOLOtiy ANDTI{|{ATtlK.VTOP VKNEKKAt. 1)18. 

KA^EIi. UaiDR tbaiiilbatillODariluDaltadandTvlor. In ona 
larj bandtaiD* Hio, rolana of about BM pai;»). «»b abaat IM> ra 
(TaTbci aa »t!l a* tbioma lilhognphlc pIiiM Prtfanng. 

THOXAI IT. OAILLASDj AND XURDE i PAUL F ) A PRACTICAL 
TREATISE '«N Til E PlaEAlillo OF UOUCN. Kt* (•■iib; .J|. 
Iks. IbDriHEklj rcrUad by PasI f. Uuadt, M.U. In unr Inrg* 
aad baadaomc aetata talama af SM f»%*», "lib MT IllgilralUni, 
Clviti,|», Ualbir. %A 

THOMPSON ISIKUKHRI). CL1N1CALLECTRH8S ON I>ISRAf!RS 
OF THE CRINARV OKaA>fi. Sac*nd and miiad adiiloa !■ 
•n* MMiu *DluBir «r m liac**. "'»■ iHualraikna. Cloth, tl It. 

THOHPBOR (SIR BZNRT). TIIR PATilOLOOV AND TKKAT- 
MKNT OF STRICH-KKOf TIIK IJUKTIIRA AND rRIKABY 
FHiTVLX. Ftoai (ha third ilngllih adilkin. In »n*acla<u T*l- 
■Hia ol 3tt pac**. *iih ilJuatratinn). Clutb. S3 frU, 

TVDBdOBRBTBENTLEY). CLINICAL LKCTUHBBOHCRKTAtK 
ACfTE DISKASRS. lt> omtiro. toI. oI SM «>.. alvlb.tl M. 
IIIBE?Sa (PREDRUOX), QPBRATIVI 8(:Ru£rY. In l«a mU*« 
1 tulanaj ooaialnlng IMO )■•#*•. «ltb III liluntalkcni. Vt*tb. IS . 
Itathar, 111 

A MANUAL or erRURRI. la Ti*atl*« bj 33 ttxliar (ui- 

gtfot Ibraa Itma. rotnai*!, aonlaininN IMd pa^a, Bllh 111 
tacrailsca. PiUa |it( aal. (O. E*a SititnW S*nu vfiUmluth, 
f. II- 

— . TUB SirPENT'S HANDBOOK Or SURQICAL OPKRA- 
TIORH. Id «Ba ISmo. Tplama «f MS pafai, aiUi tt UlaaUalloua. 
Clotb. •> M. JuM rm4s 

I eUneiCAL aPPLIKU AKATOMT. (■ a»* llno, volananr 

t4l)iag«a.«llhcnjluit(atlaBa ClatkStDD. in Slu^iny S»'ttt 

tf M*i-^it, {•>%' It. 

INTKHTISAL UU^TRDCTION. U m» Ilu. tulaina «/ 111 

Sgaa, with t* illuitraltoM. Clolb, |3 US. St* ^iH </ iUiitml 
uuao/l. V. II 
KSlDAKIBLHACIl. THE IRFLVRyCK OFTIIB MIND ItrOH 
TIIK IIODT IWond adltloa. In an* baBriMUt Hia. ii.1.at *<T 

Ci(«, with 1 ri'li'rri pla'aa. Cluth. t3. 
UMAM {TIUTOK «). and ROVY (FBRITX 0.) PT01I«INK8. 
LKUVOUAINKS AND DACTKIUAL PKOTKItlD. OR TUK 
OORHICAL FACTORR in 1I1K Cli.U»KTW» <4l V\WI.Kl%. 
Ktw (aammt) adlUoa , In aa« haa^aQna Mua. it^wan ^ wn "(Mi*^- 
OlM^fS U. 



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VtSinxO LIST. THK MKRICAl. HEWS VieiTIXQ Ufit It IWI. 
Pitir ii^Im iir»kir(iiiir4ri>fi*p*iit>ui^ Mvnikif ,H>-iti*j. (w 

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ntk] ^ md Pwiwlaal galulMtd In W fUttaUBMb nmk}. Tkt M 
pkirnl I>»k DBDilaU «f IM MC** " titifi bluibi. Tlia tnl 
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kud IT* ftni vt HHortvl bUaka. Bub U on* lal . frier, (I.U. 
Wlih Ibaab'Ullvr in4*I Ivr ^Wk hh. U otaU axlta. epMW 
niM la •'tv*no*-pafLDg aubiorlWta ut lb* MHiul !!«■• or Tb« 
AbhImd J«>nu<. ftr bolb. ((tf p. 1. 

rALSHE IW R.) PKAl-IICAL TRKATISP.OS Till DISKAIIRS 
01' Tit t: IICAKT ANDUIl^AT VBttSKt^, U Ayi*rkaa tiom tka 
III rolitd Loodod c-lltloo. laoai Mio. to). nf^SD paco. Cl«lb,IJ. 

rATSOK (TB0IIA8I. I.KCTCKUS OX TUK PHINCII'I.KS AKD 
I'KACTICE or PHYSIC Ann AmatlMD fiom IbaArib anA Ml- 
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ins InrGsSia.Tola.of IMO |<p..aiib IVOaBla. Cl«,, |V i laa-.tll. 

JZLLH iJ. SOELBESOl A TRfiATISli ON TUB UIUIABIIS 09 
THK KVK. la uoa laift and haDdaviua oclaia Tolama. 

TEBT (CaAaLESl- LKCIL'KKliUN THE UISKAHEH PEOITLI All 
TO WOMKX. TbIrd Amvcinii fram ibe third Ku(ll>b adlilaB !• 
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OK eOMK DISORDBIt^ OF TIIR .NKRVOtS SY&TKM t> 

L'HILIIIIOOU. lava* •mall lliao it4. of lir pagti Vlulta, fl. 

rHAKTOR (BXRRTB). HtKOX ^DBOIRV AM) BANI>Ani:(0. 

la out lorjr kandaoia lima, vulaina uf 4M ff*. aitb 4tiJ Ulaitia. 

Iiuu. latlij uf abirb »n ph9«DJtta^l< Cloth, fj. 
rHlTLA I WtLLIAH). DICTIONAHV OFTKHaTMRMT. OB THBR- 
APKHTIC IXtlKX. iMliHllug JladbHland fiuriioal Tbarar*aUM. 

Ib obi einat* OTUra *al«»a ol VII p>f •• ClbtA. it. 
rlU,IAHBtVHABLUJ.B. too 0.1,1 I-ULUONAHY COHSUHF. 

TI-iX: IT6 XATURK. VAltlKTlKS AMI riLKATUK.IT. U 

um ixtaio tolaw* uf Jul pa(M, CloUi.fl M, 
rUaOR (XBASMVai. A nsTRM OF HVHAN ANATOMY. A 

Has and raiiaM AaaritaBtrom Iba lait B^llabtilillaa. Illnitratiil 

wtifa StJ rDgntiiii|[> on aovd. Id asa bMiAiuna aetoTa rulaa* 

«( dU r*lt» (^laOi. 14 ; iMlhar. fft. 

— THK arL'DKNT^ H<IUK OV CUTANKOVS MRDIVISE. U 
oar liaS'liunif rojal llnu. Tul. Cl«4b, fl tO. 

riROKCL OK I-ACUULUOY AKI> TKKATHKMT OP CHILOUXD. 

Wl<ba4dltl*n*bj IbaAatbar. TtaMlalaJ b]> Jim» K Cbi'lalak, 

AM . M.D. la una bmBdaomaflra. rol, oftM pan**. OI»lh, M 
rOBLRB-B OUTLt»K« OV OUOAKIO OURMIriTHY TiaoilauA 

fraw tba atb U*tuiaii adit tun. bt Ira Bautan. U.U, In ora IZaio. 

falanaallMpacai Clotb, liofl. 

X EAR-BOOB or tEkaTHRMT yOR IHM. A OritlMl Raala* for 
riaalllloaari of AlaAiaUa Bad SOffafj, la aonlflbaUaDa bj U 
«alUh>a*n •adiMt viltort. Ilaia . u( 100 ]>•<«•. ijtatk. ■■ H. 
la «a*blaa(laB •Kb Tba JtadKal Xa*a and Tha AiBHtaui 
Joainit or lb* HadMal S«la**«a, ■» aanU. Saa paca 1. 
'«rXAB-Bi>UUOiriRRATHBKrkOKI«»lan4ll)BI,itNillarMab*T*. 
X Ktnb, (4alb. •■ >0. 

YXAK-HUUIL or THKATIIRKT FOR loW AMD IMT. fllBllar M 
.k.>>a U>ao..i:U-MI pafaa. UaBdalh, »l W. 
YIO [1- BCRHbI). VUOt> IX HKALTII AKtl DIBKAPR- la 
Mia llmu. tulamaolWd pagaa. ClalA.lt. Baa .SartM <^ C/iaaa)/ 
JKmxu'j. p. I> 
~~_ A MAliUAI. OK MKDICAt. TBRATHRKT, OK CLIXIOAb 

rOtiRO rJ&Mk* R.1. OKI ltUI-41l>lC DURORRY. la aaa ll«o. 
ruIuKa at *0U |«|[*a, «Ulk UkaaWaUvM. I'>'r*'»C' 



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